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 $1,349.96 / $2,105.98 / $7,948.18	Professional		$1,349.96	$2,105.98	$7,948.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,402.09 / $3,306.50 / $4,133.13	Professional		$1,402.09	$3,306.50	$4,133.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,417.89 / $2,234.48 / $4,373.92	Professional		$1,417.89	$2,234.48	$4,373.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,756.91 / $2,811.07 / $4,663.00	Facility		$1,756.91	$2,811.07	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.98 / $3,266.21 / $11,094.64	Professional		$1,659.98	$3,266.21	$11,094.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,208.64 / $3,266.21 / $4,485.77	Facility		$2,208.64	$3,266.21	$4,485.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,094.00 / $3,266.21 / $4,280.79	Professional		$2,094.00	$3,266.21	$4,280.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,612.60 / $3,904.40	Professional		$6.00	$2,612.60	$3,904.40
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 $1,587.81 / $2,309.54 / $4,698.89	Professional		$1,587.81	$2,309.54	$4,698.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,349.38 / $2,973.90 / $3,498.70	Professional		$2,349.38	$2,973.90	$3,498.70