Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,079.58 / $1,899.10 / $1,899.10	Professional		$1,079.58	$1,899.10	$1,899.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,531.27 / $2,867.44 / $3,266.38	Professional		$2,531.27	$2,867.44	$3,266.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,054.08 / $1,826.67 / $3,163.11	Professional		$1,054.08	$1,826.67	$3,163.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,800.81 / $3,141.79 / $14,396.24	Facility		$1,800.81	$3,141.79	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,373.78 / $2,660.14 / $9,614.37	Professional		$1,373.78	$2,660.14	$9,614.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $3,472.60 / $5,383.60	Facility		$1,961.00	$3,472.60	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,796.45 / $2,531.27 / $3,472.60	Professional		$1,796.45	$2,531.27	$3,472.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,147.40 / $3,001.70	Professional		$5.00	$2,147.40	$3,001.70
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 $1,264.10 / $2,264.41 / $3,578.32	Professional		$1,264.10	$2,264.41	$3,578.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,192.69 / $2,192.69 / $2,579.60	Professional		$2,192.69	$2,192.69	$2,579.60