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 $1,060.68 / $1,652.63 / $1,935.44	Professional		$1,060.68	$1,652.63	$1,935.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,133.13 / $2,602.19 / $3,252.74	Professional		$2,133.13	$2,602.19	$3,252.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.04 / $1,728.64 / $3,789.41	Professional		$1,100.04	$1,728.64	$3,789.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,524.67 / $2,666.53 / $6,036.00	Facility		$1,524.67	$2,666.53	$6,036.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,223.41 / $2,314.21 / $8,617.68	Professional		$1,223.41	$2,314.21	$8,617.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,489.14 / $2,529.91 / $3,162.96	Facility		$1,489.14	$2,529.91	$3,162.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,766.90 / $2,529.91 / $3,487.65	Professional		$1,766.90	$2,529.91	$3,487.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,156.30 / $1,905.99 / $2,257.59	Professional		$1,156.30	$1,905.99	$2,257.59
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $6,588.00 / $10,320.00	Facility		$5,341.00	$6,588.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,167.80 / $1,779.50 / $3,620.51	Professional		$1,167.80	$1,779.50	$3,620.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,804.83 / $2,284.60 / $2,687.80	Professional		$1,804.83	$2,284.60	$2,687.80