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 $1,479.15 / $2,597.85 / $2,597.85	Professional		$1,479.15	$2,597.85	$2,597.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,466.49 / $3,909.47 / $4,504.17	Professional		$3,466.49	$3,909.47	$4,504.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.31 / $2,486.84 / $4,307.24	Professional		$1,433.31	$2,486.84	$4,307.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,166.92 / $4,303.14 / $14,396.24	Facility		$2,166.92	$4,303.14	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,868.29 / $3,581.87 / $11,786.72	Professional		$1,868.29	$3,581.87	$11,786.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,664.00 / $4,303.14 / $5,383.60	Facility		$2,664.00	$4,303.14	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,370.17 / $3,466.49 / $4,675.93	Professional		$2,370.17	$3,466.49	$4,675.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,910.80 / $4,163.50	Professional		$5.00	$2,910.80	$4,163.50
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 $1,702.13 / $3,141.39 / $4,818.20	Professional		$1,702.13	$3,141.39	$4,818.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,002.80 / $3,002.80 / $3,532.70	Professional		$3,002.80	$3,002.80	$3,532.70