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 $1,043.89 / $1,605.51 / $6,092.13	Professional		$1,043.89	$1,605.51	$6,092.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,078.07 / $2,535.19 / $3,170.62	Professional		$1,078.07	$2,535.19	$3,170.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.22 / $1,724.93 / $3,719.29	Professional		$1,093.22	$1,724.93	$3,719.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,324.72 / $2,312.60 / $4,663.00	Facility		$1,324.72	$2,312.60	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,275.05 / $2,532.25 / $8,531.60	Professional		$1,275.05	$2,532.25	$8,531.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,733.55 / $2,595.33 / $3,448.14	Facility		$1,733.55	$2,595.33	$3,448.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,565.00 / $2,595.33 / $3,221.18	Professional		$1,565.00	$2,595.33	$3,221.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,083.40 / $2,983.30	Professional		$7.00	$2,083.40	$2,983.30
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 $1,219.60 / $1,827.54 / $3,609.28	Professional		$1,219.60	$1,827.54	$3,609.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,807.92 / $2,288.50 / $2,692.30	Professional		$1,807.92	$2,288.50	$2,692.30