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 $1,024.17 / $1,580.63 / $5,983.62	Professional		$1,024.17	$1,580.63	$5,983.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,097.18 / $2,488.44 / $3,110.56	Professional		$1,097.18	$2,488.44	$3,110.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,068.43 / $1,683.96 / $3,641.45	Professional		$1,068.43	$1,683.96	$3,641.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,347.24 / $2,267.57 / $4,663.00	Facility		$1,347.24	$2,267.57	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,250.33 / $2,483.26 / $8,361.20	Professional		$1,250.33	$2,483.26	$8,361.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,707.92 / $2,540.00 / $3,378.80	Facility		$1,707.92	$2,540.00	$3,378.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,627.00 / $2,540.00 / $3,267.35	Professional		$1,627.00	$2,540.00	$3,267.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,046.60 / $2,931.50	Professional		$7.00	$2,046.60	$2,931.50
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 $1,195.98 / $1,770.68 / $3,539.32	Professional		$1,195.98	$1,770.68	$3,539.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,769.36 / $2,239.69 / $2,634.90	Professional		$1,769.36	$2,239.69	$2,634.90