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 $1,661.58 / $2,373.19 / $3,046.56	Professional		$1,661.58	$2,373.19	$3,046.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,712.71 / $3,999.12 / $4,998.89	Professional		$1,712.71	$3,999.12	$4,998.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,670.50 / $2,679.04 / $6,667.20	Professional		$1,670.50	$2,679.04	$6,667.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,240.94 / $3,852.47 / $5,298.56	Facility		$2,240.94	$3,852.47	$5,298.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,136.48 / $3,933.74 / $13,382.32	Professional		$2,136.48	$3,933.74	$13,382.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,852.30 / $3,933.74 / $5,685.54	Facility		$2,852.30	$3,933.74	$5,685.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,788.00 / $3,933.74 / $5,582.23	Professional		$2,788.00	$3,933.74	$5,582.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,330.40 / $4,599.39	Professional		$7.00	$3,330.40	$4,599.39
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 $1,947.03 / $2,993.16 / $5,795.74	Professional		$1,947.03	$2,993.16	$5,795.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,740.27 / $3,468.70 / $4,080.80	Professional		$2,740.27	$3,468.70	$4,080.80