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 $1,394.25 / $2,455.46 / $2,455.46	Professional		$1,394.25	$2,455.46	$2,455.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,277.26 / $3,709.10 / $4,207.14	Professional		$3,277.26	$3,709.10	$4,207.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,371.83 / $2,376.26 / $4,064.80	Professional		$1,371.83	$2,376.26	$4,064.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,091.67 / $3,781.41 / $10,061.00	Facility		$2,091.67	$3,781.41	$10,061.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,834.81 / $3,479.40 / $12,853.85	Professional		$1,834.81	$3,479.40	$12,853.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,091.67 / $2,769.67 / $4,058.15	Facility		$2,091.67	$2,769.67	$4,058.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,384.96 / $3,277.26 / $4,559.10	Professional		$2,384.96	$3,277.26	$4,559.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $2,809.20 / $3,851.50	Professional		$5.00	$2,809.20	$3,851.50
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 $1,653.44 / $2,961.81 / $4,680.37	Professional		$1,653.44	$2,961.81	$4,680.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,838.90 / $2,838.90 / $3,339.90	Professional		$2,838.90	$2,838.90	$3,339.90