Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $9,185.68	Facility		$4,146.00	$4,964.00	$9,185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,823.48 / $3,210.85 / $3,210.85	Professional		$1,823.48	$3,210.85	$3,210.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,285.26 / $4,849.54 / $5,506.29	Professional		$4,285.26	$4,849.54	$5,506.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,792.30 / $3,104.90 / $5,253.29	Professional		$1,792.30	$3,104.90	$5,253.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,509.88 / $5,124.07 / $14,396.24	Facility		$2,509.88	$5,124.07	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,384.42 / $4,520.08 / $14,612.80	Professional		$2,384.42	$4,520.08	$14,612.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,008.31 / $4,427.99 / $5,889.18	Facility		$3,008.31	$4,427.99	$5,889.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,022.00 / $4,285.26 / $5,889.18	Professional		$3,022.00	$4,285.26	$5,889.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,606.80 / $5,042.39	Professional		$11.00	$3,606.80	$5,042.39
United Facility/Professional Facility Modifier Low / Median / High Price $6,354.00 / $8,868.00 / $11,869.99	Facility		$6,354.00	$8,868.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $2,157.03 / $4,033.99 / $6,080.25	Professional		$2,157.03	$4,033.99	$6,080.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,712.10 / $3,712.10 / $4,367.10	Professional		$3,712.10	$3,712.10	$4,367.10