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 $1,002.52 / $1,533.61 / $5,845.77	Professional		$1,002.52	$1,533.61	$5,845.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,082.91 / $2,430.01 / $3,049.32	Professional		$1,082.91	$2,430.01	$3,049.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,054.83 / $1,710.15 / $4,564.33	Professional		$1,054.83	$1,710.15	$4,564.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,416.20 / $2,409.06 / $4,663.00	Facility		$1,416.20	$2,409.06	$4,663.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,280.05 / $2,435.71 / $8,199.28	Professional		$1,280.05	$2,435.71	$8,199.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,683.91 / $2,497.79 / $3,539.36	Facility		$1,683.91	$2,497.79	$3,539.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,683.91 / $2,497.79 / $3,314.43	Professional		$1,683.91	$2,497.79	$3,314.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,077.75 / $1,862.54 / $2,288.25	Professional		$1,077.75	$1,862.54	$2,288.25
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 $1,173.38 / $1,929.62 / $3,472.46	Professional		$1,173.38	$1,929.62	$3,472.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,739.98 / $2,202.50 / $2,591.19	Professional		$1,739.98	$2,202.50	$2,591.19