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 $1,208.04 / $1,861.41 / $7,067.72	Professional		$1,208.04	$1,861.41	$7,067.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,299.78 / $2,924.74 / $3,670.22	Professional		$1,299.78	$2,924.74	$3,670.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,263.55 / $1,993.69 / $4,298.85	Professional		$1,263.55	$1,993.69	$4,298.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,738.37 / $2,892.60 / $4,663.00	Facility		$1,738.37	$2,892.60	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,483.77 / $2,940.39 / $9,867.04	Professional		$1,483.77	$2,940.39	$9,867.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,956.34 / $2,997.07 / $4,007.56	Facility		$1,956.34	$2,997.07	$4,007.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,956.34 / $2,997.07 / $4,003.28	Professional		$1,956.34	$2,997.07	$4,003.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,415.00 / $3,453.70	Professional		$7.00	$2,415.00	$3,453.70
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 $1,368.32 / $2,059.14 / $4,189.43	Professional		$1,368.32	$2,059.14	$4,189.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,087.73 / $2,642.70 / $3,109.10	Professional		$2,087.73	$2,642.70	$3,109.10