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 $1,987.50 / $1,987.50 / $1,987.50	Professional		$1,987.50	$1,987.50	$1,987.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.00 / $2,797.89 / $2,815.13	Professional		$595.00	$2,797.89	$2,815.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,044.96 / $1,471.31 / $3,945.09	Professional		$1,044.96	$1,471.31	$3,945.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,987.50 / $2,622.13 / $6,572.00	Facility		$1,987.50	$2,622.13	$6,572.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,054.63 / $2,815.13 / $4,637.50	Professional		$2,054.63	$2,815.13	$4,637.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,262.62 / $2,815.13 / $2,815.13	Facility		$2,262.62	$2,815.13	$2,815.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,054.63 / $2,201.66 / $2,815.13	Professional		$2,054.63	$2,201.66	$2,815.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
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
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,588.85 / $2,011.20 / $2,366.19	Professional		$1,588.85	$2,011.20	$2,366.19