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 $1,466.02 / $2,265.63 / $8,570.83	Professional		$1,466.02	$2,265.63	$8,570.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,571.68 / $3,558.93 / $4,449.67	Professional		$1,571.68	$3,558.93	$4,449.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,530.04 / $2,393.75 / $5,148.07	Professional		$1,530.04	$2,393.75	$5,148.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,953.88 / $3,094.87 / $4,755.45	Facility		$1,953.88	$3,094.87	$4,755.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,791.49 / $3,553.43 / $11,955.60	Professional		$1,791.49	$3,553.43	$11,955.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,448.82 / $3,636.07 / $4,831.24	Facility		$2,448.82	$3,636.07	$4,831.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,333.00 / $3,636.07 / $4,755.45	Professional		$2,333.00	$3,636.07	$4,755.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,920.30 / $4,202.00	Professional		$6.00	$2,920.30	$4,202.00
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 $1,713.60 / $2,913.12 / $5,071.17	Professional		$1,713.60	$2,913.12	$5,071.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,532.90 / $3,206.20 / $3,772.00	Professional		$2,532.90	$3,206.20	$3,772.00