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 $1,916.46 / $2,951.54 / $11,148.60	Professional		$1,916.46	$2,951.54	$11,148.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,946.72 / $4,688.62 / $5,860.78	Professional		$1,946.72	$4,688.62	$5,860.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,959.74 / $3,162.80 / $6,651.91	Professional		$1,959.74	$3,162.80	$6,651.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,348.04 / $3,965.51 / $6,003.62	Facility		$2,348.04	$3,965.51	$6,003.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,312.12 / $4,618.29 / $15,693.04	Professional		$2,312.12	$4,618.29	$15,693.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,122.40 / $4,777.99 / $6,291.31	Facility		$3,122.40	$4,777.99	$6,291.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,879.00 / $4,777.99 / $5,853.53	Professional		$2,879.00	$4,777.99	$5,853.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,515.40 / $5,491.90	Professional		$7.00	$3,515.40	$5,491.90
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 $2,227.13 / $3,406.92 / $6,590.88	Professional		$2,227.13	$3,406.92	$6,590.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,328.35 / $4,213.10 / $4,956.60	Professional		$3,328.35	$4,213.10	$4,956.60