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 $1,303.54 / $2,008.14 / $7,629.21	Professional		$1,303.54	$2,008.14	$7,629.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.62 / $3,156.13 / $3,960.87	Professional		$1,403.62	$3,156.13	$3,960.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,365.31 / $2,138.29 / $4,631.04	Professional		$1,365.31	$2,138.29	$4,631.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,768.17 / $2,944.54 / $4,663.00	Facility		$1,768.17	$2,944.54	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,598.20 / $3,176.05 / $10,649.84	Professional		$1,598.20	$3,176.05	$10,649.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,166.39 / $3,237.23 / $4,319.53	Facility		$2,166.39	$3,237.23	$4,319.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,111.00 / $3,237.23 / $4,288.51	Professional		$2,111.00	$3,237.23	$4,288.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,606.30 / $3,727.50	Professional		$7.00	$2,606.30	$3,727.50
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 $1,528.71 / $2,314.13 / $4,524.02	Professional		$1,528.71	$2,314.13	$4,524.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,255.06 / $2,854.50 / $3,358.20	Professional		$2,255.06	$2,854.50	$3,358.20