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 $1,291.31 / $1,971.88 / $7,568.80	Professional		$1,291.31	$1,971.88	$7,568.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,441.89 / $3,204.50 / $3,998.19	Professional		$1,441.89	$3,204.50	$3,998.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,361.00 / $2,359.14 / $4,739.45	Professional		$1,361.00	$2,359.14	$4,739.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,957.86 / $3,204.50 / $5,244.00	Facility		$1,957.86	$3,204.50	$5,244.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,666.78 / $3,204.50 / $10,702.45	Professional		$1,666.78	$3,204.50	$10,702.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,200.87 / $3,258.95 / $4,553.02	Facility		$2,200.87	$3,258.95	$4,553.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,200.87 / $3,204.50 / $4,329.17	Professional		$2,200.87	$3,204.50	$4,329.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,645.80 / $3,652.90	Professional		$15.00	$2,645.80	$3,652.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,966.00 / $6,110.41 / $7,407.10	Facility		$1,966.00	$6,110.41	$7,407.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,527.88 / $2,597.39 / $4,521.55	Professional		$1,527.88	$2,597.39	$4,521.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,232.21 / $2,825.60 / $3,324.30	Professional		$2,232.21	$2,825.60	$3,324.30