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 $1,037.64 / $1,822.91 / $1,822.91	Professional		$1,037.64	$1,822.91	$1,822.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,424.29 / $2,750.31 / $3,145.62	Professional		$2,424.29	$2,750.31	$3,145.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,003.83 / $1,786.33 / $2,978.44	Professional		$1,003.83	$1,786.33	$2,978.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,822.91 / $3,018.09 / $14,396.24	Facility		$1,822.91	$3,018.09	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,305.44 / $2,534.30 / $8,291.52	Professional		$1,305.44	$2,534.30	$8,291.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,847.00 / $3,308.26 / $5,383.60	Facility		$1,847.00	$3,308.26	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,690.00 / $2,424.29 / $3,308.26	Professional		$1,690.00	$2,424.29	$3,308.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,070.69 / $2,909.20	Professional		$5.00	$2,070.69	$2,909.20
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 $1,190.54 / $2,157.29 / $3,409.05	Professional		$1,190.54	$2,157.29	$3,409.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $2,100.00 / $2,470.60	Professional		$2,100.00	$2,100.00	$2,470.60