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 $1,155.86 / $1,769.13 / $6,747.35	Professional		$1,155.86	$1,769.13	$6,747.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,335.63 / $2,801.64 / $3,534.02	Professional		$1,335.63	$2,801.64	$3,534.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,212.84 / $1,907.71 / $4,215.47	Professional		$1,212.84	$1,907.71	$4,215.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,648.41 / $2,729.72 / $4,663.00	Facility		$1,648.41	$2,729.72	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,447.50 / $2,825.32 / $9,465.68	Professional		$1,447.50	$2,825.32	$9,465.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,064.82 / $2,870.44 / $3,925.44	Facility		$2,064.82	$2,870.44	$3,925.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,965.00 / $2,870.44 / $3,830.33	Professional		$1,965.00	$2,870.44	$3,830.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,350.19 / $3,277.30	Professional		$15.00	$2,350.19	$3,277.30
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 $1,355.73 / $2,020.95 / $4,012.09	Professional		$1,355.73	$2,020.95	$4,012.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,999.57 / $2,531.10 / $2,977.70	Professional		$1,999.57	$2,531.10	$2,977.70