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 $1,198.18 / $1,838.01 / $7,002.03	Professional		$1,198.18	$1,838.01	$7,002.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,293.80 / $2,906.04 / $3,645.01	Professional		$1,293.80	$2,906.04	$3,645.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,259.70 / $1,989.10 / $4,696.37	Professional		$1,259.70	$1,989.10	$4,696.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,662.38 / $2,694.59 / $4,663.00	Facility		$1,662.38	$2,694.59	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,499.43 / $2,918.77 / $9,845.53	Professional		$1,499.43	$2,918.77	$9,845.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,996.37 / $2,983.97 / $4,031.93	Facility		$1,996.37	$2,983.97	$4,031.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,969.00 / $2,983.97 / $3,969.77	Professional		$1,969.00	$2,983.97	$3,969.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,365.40 / $3,418.60	Professional		$7.00	$2,365.40	$3,418.60
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 $1,404.76 / $2,085.19 / $4,157.18	Professional		$1,404.76	$2,085.19	$4,157.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,078.65 / $2,631.20 / $3,095.50	Professional		$2,078.65	$2,631.20	$3,095.50