Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,012.00 / $6,405.00 / $10,255.42	Facility		$5,012.00	$6,405.00	$10,255.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.57 / $1,727.94 / $6,582.56	Professional		$1,123.57	$1,727.94	$6,582.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,212.74 / $2,717.50 / $3,416.82	Professional		$1,212.74	$2,717.50	$3,416.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,179.15 / $1,862.25 / $4,004.21	Professional		$1,179.15	$1,862.25	$4,004.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,648.40 / $2,717.52 / $4,898.00	Facility		$1,648.40	$2,717.52	$4,898.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,384.09 / $2,720.95 / $9,184.32	Professional		$1,384.09	$2,720.95	$9,184.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,889.88 / $2,792.57 / $3,734.29	Facility		$1,889.88	$2,792.57	$3,734.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,833.00 / $2,792.57 / $3,704.51	Professional		$1,833.00	$2,792.57	$3,704.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.91 / $2,082.78 / $2,557.01	Professional		$1,267.91	$2,082.78	$2,557.01
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 $1,320.44 / $2,131.77 / $3,907.66	Professional		$1,320.44	$2,131.77	$3,907.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,945.30 / $2,462.40 / $2,896.90	Professional		$1,945.30	$2,462.40	$2,896.90