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 $1,157.50 / $1,774.38 / $6,757.41	Professional		$1,157.50	$1,774.38	$6,757.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.92 / $2,807.88 / $3,520.11	Professional		$1,249.92	$2,807.88	$3,520.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,216.98 / $1,922.35 / $4,753.35	Professional		$1,216.98	$1,922.35	$4,753.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,610.00 / $2,704.35 / $4,663.00	Facility		$1,610.00	$2,704.35	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,417.05 / $2,815.45 / $9,470.48	Professional		$1,417.05	$2,815.45	$9,470.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,930.89 / $2,883.53 / $3,826.48	Facility		$1,930.89	$2,883.53	$3,826.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,869.00 / $2,883.53 / $3,816.40	Professional		$1,869.00	$2,883.53	$3,816.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,274.00 / $3,301.80	Professional		$7.00	$2,274.00	$3,301.80
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 $1,355.44 / $2,026.86 / $4,011.25	Professional		$1,355.44	$2,026.86	$4,011.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,008.65 / $2,542.60 / $2,991.30	Professional		$2,008.65	$2,542.60	$2,991.30