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 $1,232.14 / $1,889.05 / $7,200.88	Professional		$1,232.14	$1,889.05	$7,200.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,331.36 / $2,985.51 / $3,748.29	Professional		$1,331.36	$2,985.51	$3,748.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,295.65 / $2,046.47 / $5,068.85	Professional		$1,295.65	$2,046.47	$5,068.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,672.51 / $2,727.77 / $4,663.00	Facility		$1,672.51	$2,727.77	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,510.67 / $3,003.11 / $10,079.76	Professional		$1,510.67	$3,003.11	$10,079.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,075.30 / $3,068.39 / $4,087.09	Facility		$2,075.30	$3,068.39	$4,087.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,045.00 / $3,068.39 / $4,082.99	Professional		$2,045.00	$3,068.39	$4,082.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,457.50 / $3,512.80	Professional		$7.00	$2,457.50	$3,512.80
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 $1,444.99 / $2,184.23 / $4,276.26	Professional		$1,444.99	$2,184.23	$4,276.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,137.42 / $2,705.60 / $3,183.10	Professional		$2,137.42	$2,705.60	$3,183.10