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 $1,298.38 / $2,009.62 / $3,599.02	Professional		$1,298.38	$2,009.62	$3,599.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,391.53 / $3,151.46 / $3,940.45	Professional		$1,391.53	$3,151.46	$3,940.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,354.69 / $2,135.94 / $4,583.79	Professional		$1,354.69	$2,135.94	$4,583.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,733.28 / $2,753.18 / $4,663.00	Facility		$1,733.28	$2,753.18	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,588.25 / $3,152.40 / $10,590.72	Professional		$1,588.25	$3,152.40	$10,590.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,159.48 / $3,219.77 / $4,293.87	Facility		$2,159.48	$3,219.77	$4,293.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,022.00 / $3,219.77 / $4,143.53	Professional		$2,022.00	$3,219.77	$4,143.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,591.90 / $3,723.70	Professional		$6.00	$2,591.90	$3,723.70
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 $1,519.20 / $2,507.09 / $4,495.85	Professional		$1,519.20	$2,507.09	$4,495.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,242.89 / $2,839.10 / $3,340.10	Professional		$2,242.89	$2,839.10	$3,340.10