Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $4,917.20 / $8,042.03	Facility		$3,468.00	$4,917.20	$8,042.03
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 $3,722.14 / $4,267.97 / $4,816.79	Professional		$3,722.14	$4,267.97	$4,816.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,602.16 / $2,640.05 / $4,885.77	Professional		$1,602.16	$2,640.05	$4,885.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.31 / $3,722.14 / $7,799.00	Facility		$2,041.31	$3,722.14	$7,799.00
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 $2,465.77 / $3,806.37 / $5,151.58	Facility		$2,465.77	$3,806.37	$5,151.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,465.77 / $3,806.37 / $5,151.58	Professional		$2,465.77	$3,806.37	$5,151.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,861.70 / $4,372.60	Professional		$7.00	$2,861.70	$4,372.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,877.54 / $3,363.24 / $5,314.73	Professional		$1,877.54	$3,363.24	$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