Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,960.00 / $11,611.47	Facility		$4,964.00	$6,960.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,634.03 / $2,554.94 / $3,656.29	Professional		$1,634.03	$2,554.94	$3,656.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,405.35 / $3,842.44 / $4,455.47	Professional		$3,405.35	$3,842.44	$4,455.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,398.55 / $2,427.89 / $4,147.33	Professional		$1,398.55	$2,427.89	$4,147.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,119.32 / $4,237.09 / $14,396.24	Facility		$2,119.32	$4,237.09	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,808.00 / $3,483.86 / $11,588.56	Professional		$1,808.00	$3,483.86	$11,588.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,571.00 / $4,237.09 / $5,383.60	Facility		$2,571.00	$4,237.09	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,311.89 / $3,405.35 / $4,550.84	Professional		$2,311.89	$3,405.35	$4,550.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,868.30 / $4,139.60	Professional		$5.00	$2,868.30	$4,139.60
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,655.55 / $2,965.60 / $4,686.35	Professional		$1,655.55	$2,965.60	$4,686.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,949.90 / $2,949.90 / $3,470.40	Professional		$2,949.90	$2,949.90	$3,470.40