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 $1,411.63 / $2,165.14 / $3,235.33	Professional		$1,411.63	$2,165.14	$3,235.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,522.70 / $3,424.14 / $4,291.14	Professional		$1,522.70	$3,424.14	$4,291.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,482.18 / $2,339.87 / $5,004.92	Professional		$1,482.18	$2,339.87	$5,004.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,016.07 / $3,389.69 / $5,244.00	Facility		$2,016.07	$3,389.69	$5,244.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,760.51 / $3,425.39 / $12,046.47	Professional		$1,760.51	$3,425.39	$12,046.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,364.76 / $3,513.08 / $4,823.42	Facility		$2,364.76	$3,513.08	$4,823.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,280.00 / $3,513.08 / $4,653.87	Professional		$2,280.00	$3,513.08	$4,653.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,793.50 / $4,028.10	Professional		$7.00	$2,793.50	$4,028.10
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 $1,650.67 / $2,724.06 / $4,884.93	Professional		$1,650.67	$2,724.06	$4,884.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,447.17 / $3,097.70 / $3,644.40	Professional		$2,447.17	$3,097.70	$3,644.40