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 $1,443.75 / $2,490.67 / $4,186.42	Professional		$1,443.75	$2,490.67	$4,186.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,954.86 / $4,210.68 / $6,075.03	Professional		$1,954.86	$4,210.68	$6,075.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,442.90 / $3,074.08 / $10,112.69	Professional		$1,442.90	$3,074.08	$10,112.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,349.38 / $4,210.68 / $7,123.00	Facility		$2,349.38	$4,210.68	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,147.79 / $4,045.10 / $16,826.72	Professional		$2,147.79	$4,045.10	$16,826.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,917.98 / $4,411.17 / $6,144.13	Facility		$2,917.98	$4,411.17	$6,144.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,918.09 / $4,210.68 / $6,144.13	Professional		$2,918.09	$4,210.68	$6,144.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $2,213.30	Professional		$7.00	$7.00	$2,213.30
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 $1,996.14 / $3,294.17 / $5,801.57	Professional		$1,996.14	$3,294.17	$5,801.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,376.71 / $3,008.50 / $3,539.40	Professional		$2,376.71	$3,008.50	$3,539.40