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 $1,971.24 / $3,471.86 / $3,471.86	Professional		$1,971.24	$3,471.86	$3,471.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,635.34 / $5,243.80 / $5,949.40	Professional		$4,635.34	$5,243.80	$5,949.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,941.14 / $3,361.59 / $5,750.55	Professional		$1,941.14	$3,361.59	$5,750.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,738.37 / $5,550.33 / $14,396.24	Facility		$2,738.37	$5,550.33	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,569.57 / $4,896.58 / $17,855.03	Professional		$2,569.57	$4,896.58	$17,855.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,262.57 / $4,864.95 / $6,383.88	Facility		$3,262.57	$4,864.95	$6,383.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,289.00 / $4,635.34 / $6,383.88	Professional		$3,289.00	$4,635.34	$6,383.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,895.70 / $5,442.30	Professional		$11.00	$3,895.70	$5,442.30
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 $2,326.89 / $4,369.87 / $6,586.71	Professional		$2,326.89	$4,369.87	$6,586.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,015.30 / $4,015.30 / $4,723.89	Professional		$4,015.30	$4,015.30	$4,723.89