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 $1,086.68 / $1,359.66 / $5,954.09	Professional		$1,086.68	$1,359.66	$5,954.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.10 / $1,595.16 / $3,318.33	Professional		$1,109.10	$1,595.16	$3,318.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.75 / $1,644.37 / $2,258.75	Professional		$1,081.75	$1,644.37	$2,258.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,371.98 / $2,140.34 / $5,244.00	Facility		$1,371.98	$2,140.34	$5,244.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,260.45 / $2,257.84 / $7,680.91	Professional		$1,260.45	$2,257.84	$7,680.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,473.61 / $1,829.35 / $2,811.18	Facility		$1,473.61	$1,829.35	$2,811.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,437.83 / $1,983.69 / $3,318.33	Professional		$1,437.83	$1,983.69	$3,318.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.80 / $2,161.60 / $3,129.40	Professional		$1,584.80	$2,161.60	$3,129.40
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 $1,205.64 / $1,842.63 / $3,567.94	Professional		$1,205.64	$1,842.63	$3,567.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,378.95 / $1,745.50 / $2,053.60	Professional		$1,378.95	$1,745.50	$2,053.60