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 $1,148.42 / $2,013.40 / $2,013.40	Professional		$1,148.42	$2,013.40	$2,013.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,685.58 / $3,028.16 / $3,516.66	Professional		$2,685.58	$3,028.16	$3,516.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,101.40 / $1,893.64 / $3,225.02	Professional		$1,101.40	$1,893.64	$3,225.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,932.00 / $3,339.95 / $14,396.24	Facility		$1,932.00	$3,339.95	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,413.89 / $2,741.76 / $9,133.36	Professional		$1,413.89	$2,741.76	$9,133.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,010.00 / $3,582.33 / $5,383.60	Facility		$2,010.00	$3,582.33	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,808.12 / $2,685.58 / $3,582.33	Professional		$1,808.12	$2,685.58	$3,582.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,266.69 / $3,266.60	Professional		$5.00	$2,266.69	$3,266.60
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 $1,302.90 / $2,444.84 / $3,688.12	Professional		$1,302.90	$2,444.84	$3,688.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,326.30 / $2,326.30 / $2,736.90	Professional		$2,326.30	$2,326.30	$2,736.90