Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,091.00 / $7,119.04	Facility		$3,496.00	$5,091.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,954.61 / $3,024.37 / $11,505.70	Professional		$1,954.61	$3,024.37	$11,505.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,105.57 / $4,723.68 / $5,941.30	Professional		$2,105.57	$4,723.68	$5,941.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,045.42 / $3,314.52 / $8,861.81	Professional		$2,045.42	$3,314.52	$8,861.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,694.06 / $4,332.52 / $6,101.63	Facility		$2,694.06	$4,332.52	$6,101.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,409.87 / $4,837.76 / $17,183.28	Professional		$2,409.87	$4,837.76	$17,183.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,252.60 / $4,847.85 / $6,765.64	Facility		$3,252.60	$4,847.85	$6,765.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,252.60 / $4,847.85 / $6,524.72	Professional		$3,252.60	$4,847.85	$6,524.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $3,776.50 / $5,596.50	Professional		$6.00	$3,776.50	$5,596.50
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 $2,305.09 / $3,417.45 / $6,821.61	Professional		$2,305.09	$3,417.45	$6,821.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,377.01 / $4,274.70 / $5,029.10	Professional		$3,377.01	$4,274.70	$5,029.10