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 $1,170.90 / $1,789.74 / $6,852.28	Professional		$1,170.90	$1,789.74	$6,852.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,344.75 / $2,825.80 / $3,612.33	Professional		$1,344.75	$2,825.80	$3,612.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,231.33 / $1,994.37 / $4,294.68	Professional		$1,231.33	$1,994.37	$4,294.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,701.11 / $2,819.55 / $4,663.00	Facility		$1,701.11	$2,819.55	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,505.34 / $2,878.36 / $9,581.52	Professional		$1,505.34	$2,878.36	$9,581.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,001.25 / $2,906.82 / $4,117.10	Facility		$2,001.25	$2,906.82	$4,117.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,001.25 / $2,906.82 / $3,912.21	Professional		$2,001.25	$2,906.82	$3,912.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,387.30 / $3,314.50	Professional		$15.00	$2,387.30	$3,314.50
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 $1,379.90 / $2,101.98 / $4,083.61	Professional		$1,379.90	$2,101.98	$4,083.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,024.85 / $2,563.10 / $3,015.50	Professional		$2,024.85	$2,563.10	$3,015.50