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 $1,178.85 / $1,442.29 / $2,704.27	Professional		$1,178.85	$1,442.29	$2,704.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.91 / $2,858.52 / $3,583.76	Professional		$1,272.91	$2,858.52	$3,583.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,238.94 / $1,956.37 / $4,205.74	Professional		$1,238.94	$1,956.37	$4,205.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,627.48 / $2,636.03 / $4,663.00	Facility		$1,627.48	$2,636.03	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,468.57 / $2,870.75 / $9,644.56	Professional		$1,468.57	$2,870.75	$9,644.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,985.86 / $2,935.19 / $3,965.21	Facility		$1,985.86	$2,935.19	$3,965.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,934.00 / $2,935.19 / $3,904.22	Professional		$1,934.00	$2,935.19	$3,904.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,353.40 / $3,363.10	Professional		$7.00	$2,353.40	$3,363.10
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 $1,381.39 / $2,204.57 / $4,088.04	Professional		$1,381.39	$2,204.57	$4,088.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,044.68 / $2,588.19 / $3,044.90	Professional		$2,044.68	$2,588.19	$3,044.90