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 $1,019.16 / $1,574.63 / $5,964.35	Professional		$1,019.16	$1,574.63	$5,964.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.68 / $2,475.98 / $3,094.97	Professional		$1,053.68	$2,475.98	$3,094.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.58 / $1,675.08 / $3,637.28	Professional		$1,062.58	$1,675.08	$3,637.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,403.51 / $2,256.11 / $4,663.00	Facility		$1,403.51	$2,256.11	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,245.75 / $2,475.63 / $8,320.40	Professional		$1,245.75	$2,475.63	$8,320.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,705.81 / $2,526.91 / $3,372.51	Facility		$1,705.81	$2,526.91	$3,372.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,556.00 / $2,526.91 / $3,158.31	Professional		$1,556.00	$2,526.91	$3,158.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,046.10 / $2,920.00	Professional		$7.00	$2,046.10	$2,920.00
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 $1,191.58 / $1,785.44 / $3,526.34	Professional		$1,191.58	$1,785.44	$3,526.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,760.28 / $2,228.19 / $2,621.40	Professional		$1,760.28	$2,228.19	$2,621.40