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 $1,577.27 / $2,419.81 / $9,237.35	Professional		$1,577.27	$2,419.81	$9,237.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,706.97 / $3,810.58 / $4,801.57	Professional		$1,706.97	$3,810.58	$4,801.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.76 / $2,623.35 / $5,594.22	Professional		$1,659.76	$2,623.35	$5,594.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,104.69 / $3,323.30 / $5,033.16	Facility		$2,104.69	$3,323.30	$5,033.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,940.12 / $3,856.96 / $12,896.08	Professional		$1,940.12	$3,856.96	$12,896.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,664.62 / $3,925.01 / $5,239.39	Facility		$2,664.62	$3,925.01	$5,239.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,502.00 / $3,925.01 / $5,092.82	Professional		$2,502.00	$3,925.01	$5,092.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,145.90 / $4,496.50	Professional		$7.00	$3,145.90	$4,496.50
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 $1,855.77 / $2,787.38 / $5,491.89	Professional		$1,855.77	$2,787.38	$5,491.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,734.19 / $3,461.00 / $4,071.70	Professional		$2,734.19	$3,461.00	$4,071.70