Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,014.98 / $3,079.64 / $11,494.70	Professional		$2,014.98	$3,079.64	$11,494.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,942.74 / $4,894.31 / $6,117.88	Professional		$1,942.74	$4,894.31	$6,117.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,963.93 / $3,199.02 / $8,510.17	Professional		$1,963.93	$3,199.02	$8,510.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,619.46 / $4,450.18 / $6,123.57	Facility		$2,619.46	$4,450.18	$6,123.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,448.46 / $4,728.49 / $16,089.92	Professional		$2,448.46	$4,728.49	$16,089.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,390.27 / $4,728.49 / $6,761.74	Facility		$3,390.27	$4,728.49	$6,761.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,905.30 / $4,728.49 / $6,589.22	Professional		$2,905.30	$4,728.49	$6,589.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $4,023.50 / $5,635.60	Professional		$7.00	$4,023.50	$5,635.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $5,847.00 / $7,856.00	Facility		$1,321.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,277.59 / $3,519.92 / $6,740.23	Professional		$2,277.59	$3,519.92	$6,740.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,293.83 / $4,169.39 / $4,905.20	Professional		$3,293.83	$4,169.39	$4,905.20