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 $1,015.69 / $1,784.13 / $1,784.13	Professional		$1,015.69	$1,784.13	$1,784.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,371.88 / $2,692.48 / $3,079.39	Professional		$2,371.88	$2,692.48	$3,079.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $981.56 / $1,702.53 / $2,881.47	Professional		$981.56	$1,702.53	$2,881.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,784.13 / $2,954.44 / $14,396.24	Facility		$1,784.13	$2,954.44	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,273.84 / $2,478.98 / $8,569.23	Professional		$1,273.84	$2,478.98	$8,569.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,792.00 / $3,235.11 / $5,383.60	Facility		$1,792.00	$3,235.11	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,656.32 / $2,371.88 / $3,235.11	Professional		$1,656.32	$2,371.88	$3,235.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,028.40 / $2,850.10	Professional		$5.00	$2,028.40	$2,850.10
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 $1,178.03 / $2,210.61 / $3,334.63	Professional		$1,178.03	$2,210.61	$3,334.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,054.60 / $2,054.60 / $2,417.19	Professional		$2,054.60	$2,054.60	$2,417.19