Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $5,463.36 / $7,120.36	Facility		$4,227.00	$5,463.36	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,111.64 / $1,703.95 / $6,484.41	Professional		$1,111.64	$1,703.95	$6,484.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,199.57 / $2,697.24 / $3,379.59	Professional		$1,199.57	$2,697.24	$3,379.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,167.76 / $1,875.16 / $3,876.34	Professional		$1,167.76	$1,875.16	$3,876.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,575.71 / $2,767.82 / $16,293.00	Facility		$1,575.71	$2,767.82	$16,293.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,359.43 / $2,701.86 / $9,094.16	Professional		$1,359.43	$2,701.86	$9,094.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,866.60 / $2,767.82 / $3,902.34	Facility		$1,866.60	$2,767.82	$3,902.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,594.28 / $2,767.82 / $3,639.94	Professional		$1,594.28	$2,767.82	$3,639.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,063.90 / $2,242.19 / $3,270.00	Professional		$1,063.90	$2,242.19	$3,270.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $12,871.00 / $16,293.00	Facility		$1,770.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,300.32 / $1,896.47 / $3,848.12	Professional		$1,300.32	$1,896.47	$3,848.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,928.07 / $2,440.60 / $2,871.30	Professional		$1,928.07	$2,440.60	$2,871.30