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 $1,504.35 / $2,305.32 / $8,804.89	Professional		$1,504.35	$2,305.32	$8,804.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,630.21 / $3,636.84 / $4,579.38	Professional		$1,630.21	$3,636.84	$4,579.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.27 / $2,503.36 / $6,839.55	Professional		$1,584.27	$2,503.36	$6,839.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,057.62 / $3,557.64 / $4,898.00	Facility		$2,057.62	$3,557.64	$4,898.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,921.74 / $3,677.19 / $12,311.52	Professional		$1,921.74	$3,677.19	$12,311.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,532.03 / $3,745.96 / $5,196.71	Facility		$2,532.03	$3,745.96	$5,196.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,497.00 / $3,745.96 / $4,992.22	Professional		$2,497.00	$3,745.96	$4,992.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,998.50 / $4,288.39	Professional		$7.00	$2,998.50	$4,288.39
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 $1,769.33 / $2,573.57 / $5,236.08	Professional		$1,769.33	$2,573.57	$5,236.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,609.44 / $3,303.10 / $3,886.00	Professional		$2,609.44	$3,303.10	$3,886.00