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 $1,532.07 / $2,359.50 / $3,518.58	Professional		$1,532.07	$2,359.50	$3,518.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,651.54 / $3,700.73 / $4,657.45	Professional		$1,651.54	$3,700.73	$4,657.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,604.20 / $2,599.98 / $5,413.54	Professional		$1,604.20	$2,599.98	$5,413.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,117.79 / $3,657.67 / $5,043.89	Facility		$2,117.79	$3,657.67	$5,043.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,955.48 / $3,734.33 / $12,510.56	Professional		$1,955.48	$3,734.33	$12,510.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,564.64 / $3,800.54 / $5,418.58	Facility		$2,564.64	$3,800.54	$5,418.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,564.64 / $3,800.54 / $5,050.30	Professional		$2,564.64	$3,800.54	$5,050.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,055.60 / $4,379.89	Professional		$7.00	$3,055.60	$4,379.89
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 $1,798.68 / $2,825.10 / $5,322.94	Professional		$1,798.68	$2,825.10	$5,322.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,647.45 / $3,351.20 / $3,942.60	Professional		$2,647.45	$3,351.20	$3,942.60