Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $4,235.59 / $7,119.04	Facility		$2,906.00	$4,235.59	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,056.19 / $1,679.56 / $1,679.56	Professional		$1,056.19	$1,679.56	$1,679.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,510.17 / $2,842.50 / $3,210.87	Professional		$2,510.17	$2,842.50	$3,210.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.66 / $1,836.77 / $3,339.00	Professional		$1,065.66	$1,836.77	$3,339.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,604.98 / $3,043.31 / $12,371.41	Facility		$1,604.98	$3,043.31	$12,371.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,466.68 / $2,709.38 / $9,743.17	Professional		$1,466.68	$2,709.38	$9,743.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,336.07 / $4,818.76	Facility		$1,992.00	$3,336.07	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,796.97 / $2,510.17 / $3,508.08	Professional		$1,796.97	$2,510.17	$3,508.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,982.20 / $2,846.30	Professional		$6.00	$1,982.20	$2,846.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $7,805.64 / $10,320.00	Facility		$4,700.00	$7,805.64	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,287.52 / $2,709.38 / $3,644.57	Professional		$1,287.52	$2,709.38	$3,644.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,213.40 / $2,213.40 / $2,604.00	Professional		$2,213.40	$2,213.40	$2,604.00