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 $1,438.79 / $2,208.81 / $3,306.78	Professional		$1,438.79	$2,208.81	$3,306.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,555.26 / $3,480.24 / $4,377.60	Professional		$1,555.26	$3,480.24	$4,377.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,512.52 / $2,389.65 / $5,899.99	Professional		$1,512.52	$2,389.65	$5,899.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,988.90 / $3,313.56 / $4,907.39	Facility		$1,988.90	$3,313.56	$4,907.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,774.47 / $3,513.55 / $11,765.92	Professional		$1,774.47	$3,513.55	$11,765.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,419.02 / $3,580.02 / $4,775.89	Facility		$2,419.02	$3,580.02	$4,775.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,345.00 / $3,580.02 / $4,745.18	Professional		$2,345.00	$3,580.02	$4,745.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $2,871.30 / $4,105.20	Professional		$8.00	$2,871.30	$4,105.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,966.00 / $6,110.41 / $7,407.10	Facility		$1,966.00	$6,110.41	$7,407.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,690.77 / $2,537.46 / $5,003.59	Professional		$1,690.77	$2,537.46	$5,003.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,493.87 / $3,156.80 / $3,713.80	Professional		$2,493.87	$3,156.80	$3,713.80