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 $1,891.27 / $2,909.40 / $11,102.30	Professional		$1,891.27	$2,909.40	$11,102.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,045.88 / $4,560.85 / $5,756.35	Professional		$2,045.88	$4,560.85	$5,756.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,923.83 / $3,140.62 / $6,683.88	Professional		$1,923.83	$3,140.62	$6,683.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,439.67 / $4,192.26 / $6,047.78	Facility		$2,439.67	$4,192.26	$6,047.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,347.80 / $4,633.49 / $15,454.88	Professional		$2,347.80	$4,633.49	$15,454.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,185.78 / $4,698.64 / $6,304.12	Facility		$3,185.78	$4,698.64	$6,304.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,065.00 / $4,698.64 / $6,283.29	Professional		$3,065.00	$4,698.64	$6,283.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,782.70 / $5,400.20	Professional		$7.00	$3,782.70	$5,400.20
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 $2,229.71 / $3,303.88 / $6,598.56	Professional		$2,229.71	$3,303.88	$6,598.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,273.05 / $4,143.10 / $4,874.30	Professional		$3,273.05	$4,143.10	$4,874.30