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 $1,376.83 / $2,099.46 / $8,109.88	Professional		$1,376.83	$2,099.46	$8,109.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,541.85 / $3,417.01 / $4,328.53	Professional		$1,541.85	$3,417.01	$4,328.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,456.57 / $2,365.13 / $5,098.04	Professional		$1,456.57	$2,365.13	$5,098.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $3,417.01 / $5,244.00	Facility		$2,126.00	$3,417.01	$5,244.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,791.42 / $3,428.29 / $12,327.05	Professional		$1,791.42	$3,428.29	$12,327.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,418.56 / $3,557.00 / $4,868.97	Facility		$2,418.56	$3,557.00	$4,868.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,418.56 / $3,417.01 / $4,629.14	Professional		$2,418.56	$3,417.01	$4,629.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,889.70 / $3,887.60	Professional		$15.00	$2,889.70	$3,887.60
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 $1,642.14 / $2,444.52 / $4,859.67	Professional		$1,642.14	$2,444.52	$4,859.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,380.27 / $3,013.00 / $3,544.70	Professional		$2,380.27	$3,013.00	$3,544.70