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 / $7,756.86	Professional		$1,184.74	$1,918.76	$7,756.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,626.36 / $2,811.49 / $11,732.00	Facility		$1,626.36	$2,811.49	$11,732.00
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 $1,898.22 / $2,811.49 / $3,933.14	Facility		$1,898.22	$2,811.49	$3,933.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,898.22 / $2,811.49 / $3,731.42	Professional		$1,898.22	$2,811.49	$3,731.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,245.40 / $3,229.90	Professional		$11.00	$2,245.40	$3,229.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $7,487.00 / $11,732.00	Facility		$1,770.00	$7,487.00	$11,732.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,322.44 / $2,248.15 / $3,913.59	Professional		$1,322.44	$2,248.15	$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