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 $1,064.35 / $1,632.34 / $6,210.76	Professional		$1,064.35	$1,632.34	$6,210.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.18 / $2,585.83 / $3,235.47	Professional		$1,148.18	$2,585.83	$3,235.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,118.14 / $1,765.10 / $4,843.68	Professional		$1,118.14	$1,765.10	$4,843.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,424.89 / $2,337.00 / $4,663.00	Facility		$1,424.89	$2,337.00	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,301.50 / $2,586.21 / $8,760.76	Professional		$1,301.50	$2,586.21	$8,760.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,786.24 / $2,651.36 / $3,509.93	Facility		$1,786.24	$2,651.36	$3,509.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,700.00 / $2,651.36 / $3,445.65	Professional		$1,700.00	$2,651.36	$3,445.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,119.60 / $3,037.80	Professional		$7.00	$2,119.60	$3,037.80
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 $1,244.91 / $1,866.35 / $3,684.15	Professional		$1,244.91	$1,866.35	$3,684.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,846.94 / $2,337.90 / $2,750.50	Professional		$1,846.94	$2,337.90	$2,750.50