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 $1,199.76 / $2,104.07 / $2,104.07	Professional		$1,199.76	$2,104.07	$2,104.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,807.10 / $3,165.25 / $3,670.53	Professional		$2,807.10	$3,165.25	$3,670.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.04 / $2,002.88 / $3,461.27	Professional		$1,153.04	$2,002.88	$3,461.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,932.00 / $3,488.88 / $14,396.24	Facility		$1,932.00	$3,488.88	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,498.67 / $2,871.77 / $9,546.16	Professional		$1,498.67	$2,871.77	$9,546.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $3,727.11 / $5,383.60	Facility		$2,143.00	$3,727.11	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,919.52 / $2,807.10 / $3,753.47	Professional		$1,919.52	$2,807.10	$3,753.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,366.30 / $3,405.80	Professional		$5.00	$2,366.30	$3,405.80
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 $1,364.68 / $2,518.61 / $3,863.00	Professional		$1,364.68	$2,518.61	$3,863.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,431.60 / $2,431.60 / $2,860.70	Professional		$2,431.60	$2,431.60	$2,860.70