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 $1,663.99 / $2,567.55 / $9,738.54	Professional		$1,663.99	$2,567.55	$9,738.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,788.55 / $4,027.17 / $5,053.77	Professional		$1,788.55	$4,027.17	$5,053.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,739.00 / $2,744.43 / $6,793.68	Professional		$1,739.00	$2,744.43	$6,793.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,163.19 / $3,622.08 / $5,270.59	Facility		$2,163.19	$3,622.08	$5,270.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,038.62 / $4,047.95 / $13,583.60	Professional		$2,038.62	$4,047.95	$13,583.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,791.29 / $4,125.87 / $5,505.66	Facility		$2,791.29	$4,125.87	$5,505.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,677.00 / $4,125.87 / $5,368.62	Professional		$2,677.00	$4,125.87	$5,368.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $3,295.80 / $4,764.50	Professional		$8.00	$3,295.80	$4,764.50
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 $1,949.98 / $3,202.64 / $5,770.70	Professional		$1,949.98	$3,202.64	$5,770.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,874.10 / $3,638.10 / $4,280.10	Professional		$2,874.10	$3,638.10	$4,280.10