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 $1,457.51 / $2,234.19 / $8,382.58	Professional		$1,457.51	$2,234.19	$8,382.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,573.69 / $3,533.22 / $4,431.66	Professional		$1,573.69	$3,533.22	$4,431.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,531.32 / $2,418.03 / $5,972.27	Professional		$1,531.32	$2,418.03	$5,972.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,978.64 / $3,344.77 / $4,777.25	Facility		$1,978.64	$3,344.77	$4,777.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,770.53 / $3,493.61 / $13,253.41	Professional		$1,770.53	$3,493.61	$13,253.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,411.44 / $3,628.06 / $4,777.25	Facility		$2,411.44	$3,628.06	$4,777.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,358.00 / $3,628.06 / $4,757.96	Professional		$2,358.00	$3,628.06	$4,757.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,860.30 / $4,157.80	Professional		$11.00	$2,860.30	$4,157.80
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 $1,683.87 / $2,573.52 / $4,983.18	Professional		$1,683.87	$2,573.52	$4,983.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,527.29 / $3,199.10 / $3,763.70	Professional		$2,527.29	$3,199.10	$3,763.70