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 $1,222.82 / $1,869.45 / $7,161.54	Professional		$1,222.82	$1,869.45	$7,161.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,360.50 / $2,949.67 / $3,787.46	Professional		$1,360.50	$2,949.67	$3,787.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,286.82 / $2,072.44 / $4,462.87	Professional		$1,286.82	$2,072.44	$4,462.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,841.26 / $2,958.44 / $4,663.00	Facility		$1,841.26	$2,958.44	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,573.93 / $3,008.86 / $11,130.10	Professional		$1,573.93	$3,008.86	$11,130.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,091.71 / $3,036.38 / $4,304.81	Facility		$2,091.71	$3,036.38	$4,304.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,091.71 / $3,036.38 / $4,093.51	Professional		$2,091.71	$3,036.38	$4,093.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,652.10 / $3,463.20	Professional		$15.00	$2,652.10	$3,463.20
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 $1,447.73 / $2,205.04 / $4,269.68	Professional		$1,447.73	$2,205.04	$4,269.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,115.15 / $2,677.40 / $3,149.90	Professional		$2,115.15	$2,677.40	$3,149.90