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 $1,709.66 / $2,534.44 / $5,844.25	Professional		$1,709.66	$2,534.44	$5,844.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,756.96 / $4,114.43 / $5,175.72	Professional		$1,756.96	$4,114.43	$5,175.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,711.80 / $2,699.66 / $6,797.85	Professional		$1,711.80	$2,699.66	$6,797.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,307.61 / $3,918.90 / $5,378.79	Facility		$2,307.61	$3,918.90	$5,378.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,152.06 / $4,039.27 / $13,753.92	Professional		$2,152.06	$4,039.27	$13,753.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,941.17 / $4,039.27 / $5,715.78	Facility		$2,941.17	$4,039.27	$5,715.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,852.00 / $4,039.27 / $5,712.80	Professional		$2,852.00	$4,039.27	$5,712.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,528.30 / $4,647.10	Professional		$7.00	$3,528.30	$4,647.10
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 $1,994.04 / $2,966.31 / $5,901.08	Professional		$1,994.04	$2,966.31	$5,901.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,813.74 / $3,561.70 / $4,190.30	Professional		$2,813.74	$3,561.70	$4,190.30