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 $1,142.20 / $1,746.92 / $6,668.07	Professional		$1,142.20	$1,746.92	$6,668.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,319.74 / $2,765.81 / $3,499.84	Professional		$1,319.74	$2,765.81	$3,499.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,198.51 / $1,939.38 / $4,168.22	Professional		$1,198.51	$1,939.38	$4,168.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,652.32 / $2,760.89 / $4,663.00	Facility		$1,652.32	$2,760.89	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,462.03 / $2,792.52 / $9,351.44	Professional		$1,462.03	$2,792.52	$9,351.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,937.47 / $2,835.50 / $4,010.71	Facility		$1,937.47	$2,835.50	$4,010.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,937.47 / $2,835.50 / $3,801.08	Professional		$1,937.47	$2,835.50	$3,801.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,323.90 / $3,238.00	Professional		$15.00	$2,323.90	$3,238.00
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 $1,340.20 / $2,048.27 / $3,966.13	Professional		$1,340.20	$2,048.27	$3,966.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,975.24 / $2,500.30 / $2,941.50	Professional		$1,975.24	$2,500.30	$2,941.50