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 $1,031.72 / $1,592.34 / $6,029.14	Professional		$1,031.72	$1,592.34	$6,029.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,037.49 / $2,507.14 / $3,133.93	Professional		$1,037.49	$2,507.14	$3,133.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.11 / $1,686.31 / $3,634.51	Professional		$1,042.11	$1,686.31	$3,634.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,133.75 / $2,071.87 / $3,825.00	Facility		$1,133.75	$2,071.87	$3,825.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,259.94 / $2,502.44 / $8,423.68	Professional		$1,259.94	$2,502.44	$8,423.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,732.35 / $2,561.85 / $3,408.50	Facility		$1,732.35	$2,561.85	$3,408.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,545.00 / $2,561.85 / $3,132.64	Professional		$1,545.00	$2,561.85	$3,132.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,062.50 / $2,954.00	Professional		$7.00	$2,062.50	$2,954.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $4,663.00 / $7,305.00	Facility		$1,770.00	$4,663.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,205.16 / $1,752.96 / $3,566.51	Professional		$1,205.16	$1,752.96	$3,566.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,784.61 / $2,259.00 / $2,657.60	Professional		$1,784.61	$2,259.00	$2,657.60