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 $1,216.76 / $1,866.49 / $7,109.90	Professional		$1,216.76	$1,866.49	$7,109.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.97 / $2,949.67 / $3,700.25	Professional		$1,314.97	$2,949.67	$3,700.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,279.53 / $2,020.97 / $4,336.39	Professional		$1,279.53	$2,020.97	$4,336.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,785.47 / $2,923.34 / $4,663.00	Facility		$1,785.47	$2,923.34	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,491.47 / $2,964.77 / $9,957.20	Professional		$1,491.47	$2,964.77	$9,957.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,038.19 / $3,030.55 / $4,028.32	Facility		$2,038.19	$3,030.55	$4,028.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,002.00 / $3,030.55 / $3,979.32	Professional		$2,002.00	$3,030.55	$3,979.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,426.10 / $3,470.20	Professional		$7.00	$2,426.10	$3,470.20
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 $1,426.62 / $2,075.09 / $4,221.89	Professional		$1,426.62	$2,075.09	$4,221.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,111.04 / $2,672.20 / $3,143.80	Professional		$2,111.04	$2,672.20	$3,143.80