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 $1,279.42 / $1,953.78 / $7,511.28	Professional		$1,279.42	$1,953.78	$7,511.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,344.75 / $3,071.99 / $3,890.01	Professional		$1,344.75	$3,071.99	$3,890.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,349.56 / $2,127.88 / $4,760.30	Professional		$1,349.56	$2,127.88	$4,760.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,603.74 / $2,817.05 / $4,663.00	Facility		$1,603.74	$2,817.05	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,537.78 / $3,166.94 / $10,471.12	Professional		$1,537.78	$3,166.94	$10,471.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,217.83 / $3,176.10 / $4,297.27	Facility		$2,217.83	$3,176.10	$4,297.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,820.42 / $3,176.10 / $3,890.01	Professional		$1,820.42	$3,176.10	$3,890.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,630.30 / $3,617.90	Professional		$15.00	$2,630.30	$3,617.90
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 $1,516.77 / $2,328.98 / $4,488.67	Professional		$1,516.77	$2,328.98	$4,488.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,212.46 / $2,800.60 / $3,294.80	Professional		$2,212.46	$2,800.60	$3,294.80