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 $1,259.30 / $1,924.65 / $7,374.23	Professional		$1,259.30	$1,924.65	$7,374.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,364.72 / $3,035.37 / $3,852.96	Professional		$1,364.72	$3,035.37	$3,852.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,325.15 / $2,086.83 / $4,565.72	Professional		$1,325.15	$2,086.83	$4,565.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,799.69 / $2,924.98 / $4,663.00	Facility		$1,799.69	$2,924.98	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.16 / $3,099.55 / $10,307.12	Professional		$1,621.16	$3,099.55	$10,307.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,177.05 / $3,125.88 / $4,364.17	Facility		$2,177.05	$3,125.88	$4,364.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,175.00 / $3,125.88 / $4,209.59	Professional		$2,175.00	$3,125.88	$4,209.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,538.60 / $3,564.30	Professional		$15.00	$2,538.60	$3,564.30
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 $1,486.07 / $2,436.88 / $4,429.47	Professional		$1,486.07	$2,436.88	$4,429.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,177.48 / $2,756.30 / $3,242.70	Professional		$2,177.48	$2,756.30	$3,242.70