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 $1,652.17 / $1,652.17 / $1,652.17	Professional		$1,652.17	$1,652.17	$1,652.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.00 / $5,000.60 / $5,030.95	Professional		$595.00	$5,000.60	$5,030.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,871.29 / $2,633.76 / $6,931.41	Professional		$1,871.29	$2,633.76	$6,931.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,652.17 / $2,957.38 / $6,572.00	Facility		$1,652.17	$2,957.38	$6,572.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,651.88 / $5,030.95 / $5,030.95	Professional		$3,651.88	$5,030.95	$5,030.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,036.35 / $5,030.95 / $5,030.95	Facility		$4,036.35	$5,030.95	$5,030.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,665.31 / $3,927.60 / $5,030.95	Professional		$3,665.31	$3,927.60	$5,030.95
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 $2,840.13 / $3,595.10 / $4,229.50	Professional		$2,840.13	$3,595.10	$4,229.50