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 $1,343.41 / $2,054.71 / $7,899.28	Professional		$1,343.41	$2,054.71	$7,899.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,499.72 / $3,217.68 / $4,347.03	Professional		$1,499.72	$3,217.68	$4,347.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,416.01 / $2,233.14 / $5,161.97	Professional		$1,416.01	$2,233.14	$5,161.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,096.75 / $3,253.85 / $5,887.32	Facility		$2,096.75	$3,253.85	$5,887.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,740.66 / $3,327.11 / $10,984.16	Professional		$1,740.66	$3,327.11	$10,984.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,423.29 / $3,330.41 / $4,743.85	Facility		$2,423.29	$3,330.41	$4,743.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,423.29 / $3,330.41 / $4,743.85	Professional		$2,423.29	$3,330.41	$4,743.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $3,023.00 / $3,801.40	Professional		$12.00	$3,023.00	$3,801.40
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 $1,595.61 / $2,537.87 / $4,721.97	Professional		$1,595.61	$2,537.87	$4,721.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,319.91 / $2,936.60 / $3,454.90	Professional		$2,319.91	$2,936.60	$3,454.90