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 / $12,557.99	Facility		$4,964.00	$6,960.00	$12,557.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,060.17 / $2,060.17 / $7,022.40	Professional		$2,060.17	$2,060.17	$7,022.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,747.43 / $3,099.27 / $3,594.57	Professional		$2,747.43	$3,099.27	$3,594.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.70 / $1,946.47 / $3,312.71	Professional		$1,127.70	$1,946.47	$3,312.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,932.00 / $3,416.82 / $14,396.24	Facility		$1,932.00	$3,416.82	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,450.69 / $2,809.23 / $9,347.52	Professional		$1,450.69	$2,809.23	$9,347.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,060.00 / $3,670.30 / $5,383.60	Facility		$2,060.00	$3,670.30	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,869.77 / $2,747.43 / $3,670.30	Professional		$1,869.77	$2,747.43	$3,670.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,318.60 / $3,338.30	Professional		$5.00	$2,318.60	$3,338.30
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 $1,334.97 / $2,391.33 / $3,778.88	Professional		$1,334.97	$2,391.33	$3,778.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,379.90 / $2,379.90 / $2,799.90	Professional		$2,379.90	$2,379.90	$2,799.90