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 $1,260.96 / $1,929.23 / $7,408.95	Professional		$1,260.96	$1,929.23	$7,408.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,407.73 / $3,022.91 / $3,972.57	Professional		$1,407.73	$3,022.91	$3,972.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,328.44 / $2,094.25 / $4,792.27	Professional		$1,328.44	$2,094.25	$4,792.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,919.97 / $3,053.66 / $5,412.31	Facility		$1,919.97	$3,053.66	$5,412.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,632.10 / $3,125.88 / $10,313.28	Professional		$1,632.10	$3,125.88	$10,313.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,251.19 / $3,125.88 / $4,451.87	Facility		$2,251.19	$3,125.88	$4,451.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,251.19 / $3,125.88 / $4,451.87	Professional		$2,251.19	$3,125.88	$4,451.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $2,687.90 / $3,569.70	Professional		$12.00	$2,687.90	$3,569.70
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 $1,496.09 / $2,548.32 / $4,427.47	Professional		$1,496.09	$2,548.32	$4,427.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,177.48 / $2,756.30 / $3,242.70	Professional		$2,177.48	$2,756.30	$3,242.70