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 $1,190.61 / $1,757.81 / $6,809.10	Professional		$1,190.61	$1,757.81	$6,809.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,223.50 / $2,887.34 / $3,609.18	Professional		$1,223.50	$2,887.34	$3,609.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,193.70 / $1,853.76 / $4,328.05	Professional		$1,193.70	$1,853.76	$4,328.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,651.88 / $2,825.30 / $4,663.00	Facility		$1,651.88	$2,825.30	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,436.86 / $2,825.30 / $11,470.21	Professional		$1,436.86	$2,825.30	$11,470.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,040.23 / $2,825.30 / $3,941.07	Facility		$2,040.23	$2,825.30	$3,941.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,910.00 / $2,825.30 / $3,852.32	Professional		$1,910.00	$2,825.30	$3,852.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,423.69 / $3,237.00	Professional		$7.00	$2,423.69	$3,237.00
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 $1,374.38 / $1,999.10 / $4,067.30	Professional		$1,374.38	$1,999.10	$4,067.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,968.13 / $2,491.30 / $2,930.90	Professional		$1,968.13	$2,491.30	$2,930.90