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 $1,134.08 / $1,739.40 / $6,617.42	Professional		$1,134.08	$1,739.40	$6,617.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,223.89 / $2,751.78 / $3,446.85	Professional		$1,223.89	$2,751.78	$3,446.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.34 / $1,880.75 / $4,033.40	Professional		$1,191.34	$1,880.75	$4,033.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,540.82 / $2,782.84 / $8,060.00	Facility		$1,540.82	$2,782.84	$8,060.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,417.46 / $2,755.88 / $11,807.05	Professional		$1,417.46	$2,755.88	$11,807.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,896.15 / $2,823.84 / $3,728.07	Facility		$1,896.15	$2,823.84	$3,728.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,825.00 / $2,823.84 / $3,700.96	Professional		$1,825.00	$2,823.84	$3,700.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,256.50 / $3,237.10	Professional		$11.00	$2,256.50	$3,237.10
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 $1,326.93 / $1,996.58 / $3,926.87	Professional		$1,326.93	$1,996.58	$3,926.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,967.10 / $2,490.00 / $2,929.40	Professional		$1,967.10	$2,490.00	$2,929.40