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 $1,122.55 / $1,730.77 / $6,568.62	Professional		$1,122.55	$1,730.77	$6,568.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,206.24 / $2,722.18 / $3,409.62	Professional		$1,206.24	$2,722.18	$3,409.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.94 / $1,852.16 / $3,995.87	Professional		$1,173.94	$1,852.16	$3,995.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,508.19 / $2,417.30 / $4,663.00	Facility		$1,508.19	$2,417.30	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,374.41 / $2,729.57 / $9,168.87	Professional		$1,374.41	$2,729.57	$9,168.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,874.06 / $2,786.74 / $3,711.38	Facility		$1,874.06	$2,786.74	$3,711.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.00 / $2,786.74 / $3,667.59	Professional		$1,819.00	$2,786.74	$3,667.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,244.10 / $3,212.80	Professional		$7.00	$2,244.10	$3,212.80
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 $1,314.65 / $1,912.22 / $3,890.54	Professional		$1,314.65	$1,912.22	$3,890.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,941.27 / $2,457.30 / $2,890.90	Professional		$1,941.27	$2,457.30	$2,890.90