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 $1,176.97 / $1,433.99 / $2,693.12	Professional		$1,176.97	$1,433.99	$2,693.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,265.01 / $2,853.84 / $3,572.95	Professional		$1,265.01	$2,853.84	$3,572.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,231.10 / $1,942.79 / $4,186.28	Professional		$1,231.10	$1,942.79	$4,186.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,570.09 / $2,487.63 / $4,663.00	Facility		$1,570.09	$2,487.63	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,440.75 / $2,861.71 / $9,613.04	Professional		$1,440.75	$2,861.71	$9,613.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,974.83 / $2,922.10 / $3,890.23	Facility		$1,974.83	$2,922.10	$3,890.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,874.00 / $2,922.10 / $3,808.71	Professional		$1,874.00	$2,922.10	$3,808.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,353.90 / $3,365.30	Professional		$7.00	$2,353.90	$3,365.30
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 $1,378.11 / $2,065.03 / $4,078.34	Professional		$1,378.11	$2,065.03	$4,078.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,035.51 / $2,576.60 / $3,031.30	Professional		$2,035.51	$2,576.60	$3,031.30