Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.57 / $1,341.53 / $1,842.92	Professional		$1,219.57	$1,341.53	$1,842.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,610.76 / $2,934.39 / $3,281.11	Professional		$2,610.76	$2,934.39	$3,281.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.76 / $1,941.77 / $2,972.84	Professional		$1,137.76	$1,941.77	$2,972.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,132.00 / $2,934.39 / $7,305.00	Facility		$2,132.00	$2,934.39	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,391.51 / $2,806.21 / $4,928.26	Professional		$1,391.51	$2,806.21	$4,928.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,937.00 / $2,770.24 / $3,623.27	Facility		$1,937.00	$2,770.24	$3,623.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,937.00 / $2,685.58 / $3,623.27	Professional		$1,937.00	$2,685.58	$3,623.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,228.48 / $2,007.21 / $2,459.73	Professional		$1,228.48	$2,007.21	$2,459.73
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 $1,333.53 / $2,686.28 / $3,774.81	Professional		$1,333.53	$2,686.28	$3,774.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,945.14 / $2,462.19 / $2,896.70	Professional		$1,945.14	$2,462.19	$2,896.70