Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,581.36 / $2,088.69 / $2,088.69	Professional		$1,581.36	$2,088.69	$2,088.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,601.41 / $4,267.97 / $4,816.79	Professional		$3,601.41	$4,267.97	$4,816.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,602.16 / $2,562.17 / $5,051.18	Professional		$1,602.16	$2,562.17	$5,051.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,198.12 / $4,267.97 / $8,342.00	Facility		$2,198.12	$4,267.97	$8,342.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,959.17 / $3,950.99 / $12,860.16	Professional		$1,959.17	$3,950.99	$12,860.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,597.15 / $3,806.37 / $5,148.30	Facility		$2,597.15	$3,806.37	$5,148.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,597.15 / $3,806.37 / $5,148.30	Professional		$2,597.15	$3,806.37	$5,148.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,946.10 / $4,372.60	Professional		$7.00	$2,946.10	$4,372.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,877.54 / $3,688.81 / $5,314.73	Professional		$1,877.54	$3,688.81	$5,314.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,297.20 / $3,297.20 / $3,879.10	Professional		$3,297.20	$3,297.20	$3,879.10