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 $1,275.79 / $1,950.79 / $7,454.66	Professional		$1,275.79	$1,950.79	$7,454.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,371.10 / $3,086.02 / $3,869.59	Professional		$1,371.10	$3,086.02	$3,869.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,340.01 / $2,096.73 / $4,599.07	Professional		$1,340.01	$2,096.73	$4,599.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.40 / $2,801.93 / $4,663.00	Facility		$1,698.40	$2,801.93	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,591.07 / $3,125.93 / $10,442.71	Professional		$1,591.07	$3,125.93	$10,442.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,291.75 / $3,167.37 / $4,247.66	Facility		$2,291.75	$3,167.37	$4,247.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,986.00 / $3,167.37 / $4,158.91	Professional		$1,986.00	$3,167.37	$4,158.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,568.19 / $3,615.00	Professional		$7.00	$2,568.19	$3,615.00
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 $1,499.59 / $2,291.87 / $4,437.82	Professional		$1,499.59	$2,291.87	$4,437.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,206.39 / $2,792.90 / $3,285.80	Professional		$2,206.39	$2,792.90	$3,285.80