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 $2,027.20 / $3,104.66 / $11,888.10	Professional		$2,027.20	$3,104.66	$11,888.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,129.13 / $4,887.29 / $6,177.90	Professional		$2,129.13	$4,887.29	$6,177.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,139.59 / $3,384.84 / $8,365.62	Professional		$2,139.59	$3,384.84	$8,365.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,602.17 / $4,200.99 / $6,496.44	Facility		$2,602.17	$4,200.99	$6,496.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,501.31 / $4,974.16 / $16,589.28	Professional		$2,501.31	$4,974.16	$16,589.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,423.61 / $5,050.17 / $6,755.19	Facility		$3,423.61	$5,050.17	$6,755.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,117.00 / $5,050.17 / $6,335.88	Professional		$3,117.00	$5,050.17	$6,335.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $4,014.30 / $5,773.90	Professional		$7.00	$4,014.30	$5,773.90
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 $2,392.56 / $3,480.08 / $7,080.44	Professional		$2,392.56	$3,480.08	$7,080.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,517.95 / $4,453.10 / $5,238.89	Professional		$3,517.95	$4,453.10	$5,238.89