Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,960.00 / $11,611.47	Facility		$4,964.00	$6,960.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.50 / $1,499.58 / $2,809.65	Professional		$1,209.50	$1,499.58	$2,809.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,706.68 / $3,043.09 / $3,400.77	Professional		$2,706.68	$3,043.09	$3,400.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,146.24 / $2,001.57 / $3,396.27	Professional		$1,146.24	$2,001.57	$3,396.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,940.38 / $2,859.45 / $6,608.00	Facility		$1,940.38	$2,859.45	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,502.20 / $2,883.80 / $9,166.95	Professional		$1,502.20	$2,883.80	$9,166.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,901.94 / $2,856.89 / $3,736.61	Facility		$1,901.94	$2,856.89	$3,736.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,901.94 / $2,706.68 / $3,736.61	Professional		$1,901.94	$2,706.68	$3,736.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.48 / $2,069.03 / $2,429.40	Professional		$1,138.48	$2,069.03	$2,429.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,381.97 / $2,550.51 / $3,911.93	Professional		$1,381.97	$2,550.51	$3,911.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,344.60 / $2,344.60 / $2,758.40	Professional		$2,344.60	$2,344.60	$2,758.40