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 $1,025.31 / $1,483.68 / $5,997.21	Professional		$1,025.31	$1,483.68	$5,997.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,043.84 / $2,482.98 / $3,103.74	Professional		$1,043.84	$2,482.98	$3,103.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,079.59 / $1,706.39 / $3,680.37	Professional		$1,079.59	$1,706.39	$3,680.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,361.87 / $2,126.00 / $4,663.00	Facility		$1,361.87	$2,126.00	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.80 / $2,320.57 / $9,902.00	Professional		$1,258.80	$2,320.57	$9,902.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,724.21 / $2,555.30 / $3,395.98	Facility		$1,724.21	$2,555.30	$3,395.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,557.00 / $2,555.30 / $3,120.18	Professional		$1,557.00	$2,555.30	$3,120.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,046.70 / $2,922.60	Professional		$7.00	$2,046.70	$2,922.60
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 $1,204.07 / $1,751.38 / $3,189.13	Professional		$1,204.07	$1,751.38	$3,189.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,748.67 / $2,213.50 / $2,604.10	Professional		$1,748.67	$2,213.50	$2,604.10