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 $1,865.72 / $2,857.24 / $10,934.90	Professional		$1,865.72	$2,857.24	$10,934.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,663.42 / $4,501.64 / $5,641.05	Professional		$1,663.42	$4,501.64	$5,641.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,968.21 / $3,112.82 / $6,603.27	Professional		$1,968.21	$3,112.82	$6,603.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,352.31 / $3,865.47 / $5,970.47	Facility		$2,352.31	$3,865.47	$5,970.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,212.00 / $4,573.85 / $15,268.40	Professional		$2,212.00	$4,573.85	$15,268.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,157.79 / $4,647.71 / $6,207.81	Facility		$3,157.79	$4,647.71	$6,207.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,476.50 / $4,647.71 / $5,683.09	Professional		$2,476.50	$4,647.71	$5,683.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,720.20 / $5,314.40	Professional		$7.00	$3,720.20	$5,314.40
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 $2,168.92 / $3,306.50 / $5,999.70	Professional		$2,168.92	$3,306.50	$5,999.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,237.58 / $4,098.20 / $4,821.39	Professional		$3,237.58	$4,098.20	$4,821.39