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 $1,741.86 / $2,667.76 / $10,202.20	Professional		$1,741.86	$2,667.76	$10,202.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,889.86 / $4,204.80 / $5,305.98	Professional		$1,889.86	$4,204.80	$5,305.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,836.82 / $2,904.56 / $6,123.76	Professional		$1,836.82	$2,904.56	$6,123.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $3,856.40 / $5,523.23	Facility		$2,310.00	$3,856.40	$5,523.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,164.16 / $4,230.80 / $14,252.48	Professional		$2,164.16	$4,230.80	$14,252.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,936.43 / $4,339.13 / $5,870.21	Facility		$2,936.43	$4,339.13	$5,870.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,881.00 / $4,339.13 / $5,758.01	Professional		$2,881.00	$4,339.13	$5,758.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,431.00 / $4,963.70	Professional		$7.00	$3,431.00	$4,963.70
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 $2,051.91 / $3,016.75 / $6,072.34	Professional		$2,051.91	$3,016.75	$6,072.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,022.62 / $3,826.10 / $4,501.30	Professional		$3,022.62	$3,826.10	$4,501.30