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 $1,018.18 / $1,545.33 / $4,412.00	Professional		$1,018.18	$1,545.33	$4,412.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.95 / $2,531.30 / $3,164.12	Professional		$1,045.95	$2,531.30	$3,164.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,080.52 / $1,696.04 / $2,952.08	Professional		$1,080.52	$1,696.04	$2,952.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,283.08 / $2,243.44 / $4,663.00	Facility		$1,283.08	$2,243.44	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,227.31 / $2,434.21 / $8,458.79	Professional		$1,227.31	$2,434.21	$8,458.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,689.60 / $2,574.94 / $3,325.14	Facility		$1,689.60	$2,574.94	$3,325.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,536.00 / $2,542.29 / $3,103.15	Professional		$1,536.00	$2,542.29	$3,103.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,990.20 / $2,885.00	Professional		$5.00	$1,990.20	$2,885.00
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 $1,173.95 / $1,771.28 / $3,474.15	Professional		$1,173.95	$1,771.28	$3,474.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,793.70 / $2,270.50 / $2,671.20	Professional		$1,793.70	$2,270.50	$2,671.20