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 $1,539.49 / $2,360.32 / $8,984.96	Professional		$1,539.49	$2,360.32	$8,984.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,663.27 / $3,727.99 / $4,681.47	Professional		$1,663.27	$3,727.99	$4,681.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,617.02 / $2,557.94 / $5,427.44	Professional		$1,617.02	$2,557.94	$5,427.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $3,497.10 / $5,103.99	Facility		$2,126.00	$3,497.10	$5,103.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,936.10 / $3,742.84 / $12,593.28	Professional		$1,936.10	$3,742.84	$12,593.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,544.44 / $3,829.66 / $5,307.05	Facility		$2,544.44	$3,829.66	$5,307.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,512.00 / $3,829.66 / $5,071.58	Professional		$2,512.00	$3,829.66	$5,071.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,057.40 / $4,392.60	Professional		$7.00	$3,057.40	$4,392.60
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 $1,802.90 / $2,668.80 / $5,335.44	Professional		$1,802.90	$2,668.80	$5,335.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,667.75 / $3,376.90 / $3,972.80	Professional		$2,667.75	$3,376.90	$3,972.80