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 $1,656.00 / $2,540.78 / $9,706.12	Professional		$1,656.00	$2,540.78	$9,706.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,792.73 / $3,999.12 / $5,040.56	Professional		$1,792.73	$3,999.12	$5,040.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,687.23 / $2,754.74 / $4,066.24	Professional		$1,687.23	$2,754.74	$4,066.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,131.67 / $3,600.57 / $5,274.74	Facility		$2,131.67	$3,600.57	$5,274.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,038.67 / $4,052.26 / $13,541.44	Professional		$2,038.67	$4,052.26	$13,541.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,787.08 / $4,120.79 / $5,518.69	Facility		$2,787.08	$4,120.79	$5,518.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,681.00 / $4,120.79 / $5,509.84	Professional		$2,681.00	$4,120.79	$5,509.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,249.60 / $4,723.50	Professional		$7.00	$3,249.60	$4,723.50
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 $1,950.04 / $2,889.43 / $5,770.87	Professional		$1,950.04	$2,889.43	$5,770.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,870.54 / $3,633.60 / $4,274.80	Professional		$2,870.54	$3,633.60	$4,274.80