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 $1,142.46 / $1,751.23 / $6,612.94	Professional		$1,142.46	$1,751.23	$6,612.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,137.83 / $2,812.55 / $3,515.69	Professional		$1,137.83	$2,812.55	$3,515.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,195.26 / $1,879.85 / $4,012.55	Professional		$1,195.26	$1,879.85	$4,012.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,379.87 / $2,526.16 / $4,898.00	Facility		$1,379.87	$2,526.16	$4,898.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,360.20 / $2,739.07 / $9,363.76	Professional		$1,360.20	$2,739.07	$9,363.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,889.86 / $2,852.96 / $3,733.74	Facility		$1,889.86	$2,852.96	$3,733.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,672.76 / $2,852.96 / $3,460.05	Professional		$1,672.76	$2,852.96	$3,460.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $2,278.10 / $3,262.70	Professional		$8.00	$2,278.10	$3,262.70
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 $1,318.11 / $1,975.56 / $3,900.76	Professional		$1,318.11	$1,975.56	$3,900.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,987.40 / $2,515.69 / $2,959.60	Professional		$1,987.40	$2,515.69	$2,959.60