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 $1,648.14 / $2,728.42 / $3,456.50	Professional		$1,648.14	$2,728.42	$3,456.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,958.04 / $5,072.82 / $6,829.79	Professional		$1,958.04	$5,072.82	$6,829.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,522.32 / $3,101.19 / $6,872.90	Professional		$1,522.32	$3,101.19	$6,872.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $4,757.60 / $7,123.00	Facility		$2,337.00	$4,757.60	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,177.60 / $4,131.39 / $15,301.92	Professional		$2,177.60	$4,131.39	$15,301.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,917.98 / $4,521.80 / $5,769.52	Facility		$2,917.98	$4,521.80	$5,769.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,918.09 / $4,521.80 / $5,662.67	Professional		$2,918.09	$4,521.80	$5,662.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $2,562.69	Professional		$15.00	$15.00	$2,562.69
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 $1,996.14 / $3,371.32 / $5,907.30	Professional		$1,996.14	$3,371.32	$5,907.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,196.50 / $4,046.20 / $4,760.30	Professional		$3,196.50	$4,046.20	$4,760.30