Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,860.10 / $1,860.10 / $1,860.10	Facility		$1,860.10	$1,860.10	$1,860.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $3,806.63 / $7,522.63	Professional		$2,100.00	$3,806.63	$7,522.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,053.29 / $5,736.51 / $7,170.64	Professional		$4,053.29	$5,736.51	$7,170.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,499.13 / $3,497.45 / $4,634.66	Professional		$2,499.13	$3,497.45	$4,634.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,722.61 / $4,362.13 / $6,452.93	Facility		$2,722.61	$4,362.13	$6,452.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,540.81 / $4,695.88 / $19,519.36	Professional		$2,540.81	$4,695.88	$19,519.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,339.88 / $4,695.88 / $6,099.31	Facility		$3,339.88	$4,695.88	$6,099.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,209.00 / $4,695.88 / $6,748.94	Professional		$3,209.00	$4,695.88	$6,748.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $4,633.50 / $6,708.80	Professional		$7.00	$4,633.50	$6,708.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,472.44 / $4,087.39 / $6,009.57	Professional		$2,472.44	$4,087.39	$6,009.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,404.90 / $3,404.90 / $4,005.80	Professional		$3,404.90	$3,404.90	$4,005.80