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 $1,721.93 / $2,552.07 / $10,049.90	Professional		$1,721.93	$2,552.07	$10,049.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.05 / $4,143.25 / $5,179.07	Professional		$1,770.05	$4,143.25	$5,179.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,723.64 / $2,891.88 / $6,151.56	Professional		$1,723.64	$2,891.88	$6,151.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,280.66 / $3,930.58 / $5,492.60	Facility		$2,280.66	$3,930.58	$5,492.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,192.59 / $4,066.92 / $13,854.16	Professional		$2,192.59	$4,066.92	$13,854.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,963.22 / $4,066.92 / $5,757.49	Facility		$2,963.22	$4,066.92	$5,757.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,854.00 / $4,066.92 / $5,754.04	Professional		$2,854.00	$4,066.92	$5,754.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,464.20 / $4,680.70	Professional		$7.00	$3,464.20	$4,680.70
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 $2,015.32 / $3,079.19 / $6,001.60	Professional		$2,015.32	$3,079.19	$6,001.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,833.02 / $3,586.10 / $4,218.89	Professional		$2,833.02	$3,586.10	$4,218.89