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 $1,198.01 / $1,845.99 / $7,006.81	Professional		$1,198.01	$1,845.99	$7,006.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.11 / $2,903.71 / $3,639.01	Professional		$1,288.11	$2,903.71	$3,639.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,253.43 / $1,978.48 / $4,261.34	Professional		$1,253.43	$1,978.48	$4,261.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,595.97 / $2,632.07 / $4,663.00	Facility		$1,595.97	$2,632.07	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,466.62 / $2,914.05 / $9,785.04	Professional		$1,466.62	$2,914.05	$9,785.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,007.80 / $2,974.50 / $3,967.87	Facility		$2,007.80	$2,974.50	$3,967.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,923.00 / $2,974.50 / $3,871.56	Professional		$1,923.00	$2,974.50	$3,871.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,395.80 / $3,426.10	Professional		$7.00	$2,395.80	$3,426.10
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 $1,402.85 / $2,115.04 / $4,151.55	Professional		$1,402.85	$2,115.04	$4,151.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,072.01 / $2,622.80 / $3,085.70	Professional		$2,072.01	$2,622.80	$3,085.70