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 $1,124.57 / $1,332.80 / $2,091.16	Professional		$1,124.57	$1,332.80	$2,091.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.58 / $2,736.20 / $3,420.25	Professional		$1,171.58	$2,736.20	$3,420.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,176.72 / $1,855.39 / $3,812.41	Professional		$1,176.72	$1,855.39	$3,812.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,441.77 / $2,337.00 / $4,663.00	Facility		$1,441.77	$2,337.00	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,370.69 / $2,717.93 / $9,181.28	Professional		$1,370.69	$2,717.93	$9,181.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,826.71 / $2,796.19 / $3,693.73	Facility		$1,826.71	$2,796.19	$3,693.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,733.00 / $2,796.19 / $3,467.46	Professional		$1,733.00	$2,796.19	$3,467.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,105.90 / $3,220.20	Professional		$6.00	$2,105.90	$3,220.20
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 $1,311.09 / $1,907.04 / $3,879.99	Professional		$1,311.09	$1,907.04	$3,879.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,947.82 / $2,465.60 / $2,900.70	Professional		$1,947.82	$2,465.60	$2,900.70