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 $1,188.97 / $1,827.25 / $6,948.10	Professional		$1,188.97	$1,827.25	$6,948.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,256.84 / $2,883.45 / $3,613.78	Professional		$1,256.84	$2,883.45	$3,613.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,248.19 / $1,970.53 / $4,233.54	Professional		$1,248.19	$1,970.53	$4,233.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,512.69 / $2,459.86 / $4,663.00	Facility		$1,512.69	$2,459.86	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,456.38 / $2,893.95 / $9,722.79	Professional		$1,456.38	$2,893.95	$9,722.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,998.43 / $2,958.50 / $3,932.61	Facility		$1,998.43	$2,958.50	$3,932.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,831.00 / $2,958.50 / $3,657.32	Professional		$1,831.00	$2,958.50	$3,657.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $2,372.80 / $3,393.20	Professional		$8.00	$2,372.80	$3,393.20
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 $1,393.06 / $2,026.27 / $4,122.58	Professional		$1,393.06	$2,026.27	$4,122.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,060.87 / $2,608.69 / $3,069.10	Professional		$2,060.87	$2,608.69	$3,069.10