Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $5,091.00 / $7,119.04	Facility		$3,496.00	$5,091.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.79 / $1,738.39 / $6,603.58	Professional		$1,130.79	$1,738.39	$6,603.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.64 / $2,744.77 / $3,434.83	Professional		$1,216.64	$2,744.77	$3,434.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,184.74 / $1,918.76 / $4,346.12	Professional		$1,184.74	$1,918.76	$4,346.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,626.36 / $2,811.49 / $7,091.00	Facility		$1,626.36	$2,811.49	$7,091.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,382.55 / $2,811.49 / $9,854.73	Professional		$1,382.55	$2,811.49	$9,854.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,896.97 / $2,811.49 / $3,931.86	Facility		$1,896.97	$2,811.49	$3,931.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,896.97 / $2,811.49 / $3,727.86	Professional		$1,896.97	$2,811.49	$3,727.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,248.00 / $3,229.90	Professional		$11.00	$2,248.00	$3,229.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $6,588.00 / $10,320.00	Facility		$1,770.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,322.44 / $1,974.03 / $3,913.59	Professional		$1,322.44	$1,974.03	$3,913.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,958.49 / $2,479.10 / $2,916.60	Professional		$1,958.49	$2,479.10	$2,916.60