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 $1,756.68 / $2,699.71 / $10,299.20	Professional		$1,756.68	$2,699.71	$10,299.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,900.63 / $4,239.08 / $5,346.81	Professional		$1,900.63	$4,239.08	$5,346.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,845.96 / $2,894.43 / $6,218.27	Professional		$1,845.96	$2,894.43	$6,218.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,296.40 / $3,971.58 / $5,608.81	Facility		$2,296.40	$3,971.58	$5,608.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,209.44 / $4,299.39 / $14,354.56	Professional		$2,209.44	$4,299.39	$14,354.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,969.22 / $4,366.06 / $5,971.56	Facility		$2,969.22	$4,366.06	$5,971.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,898.00 / $4,366.06 / $5,841.72	Professional		$2,898.00	$4,366.06	$5,841.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,511.80 / $5,014.70	Professional		$7.00	$3,511.80	$5,014.70
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 $2,068.44 / $3,676.28 / $6,121.27	Professional		$2,068.44	$3,676.28	$6,121.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,041.42 / $3,849.90 / $4,529.20	Professional		$3,041.42	$3,849.90	$4,529.20