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 $1,275.00 / $1,275.00 / $3,735.00	Professional		$1,275.00	$1,275.00	$3,735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.89 / $2,159.46 / $2,446.37	Professional		$1,905.89	$2,159.46	$2,446.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $808.61 / $1,366.37 / $2,364.48	Professional		$808.61	$1,366.37	$2,364.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,238.06 / $2,313.11 / $12,371.41	Facility		$1,238.06	$2,313.11	$12,371.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,105.58 / $2,049.06 / $6,500.16	Professional		$1,105.58	$2,049.06	$6,500.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,507.00 / $2,661.31 / $4,818.76	Facility		$1,507.00	$2,661.31	$4,818.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,368.00 / $1,909.01 / $2,661.31	Professional		$1,368.00	$1,909.01	$2,661.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $1,505.50 / $2,165.00	Professional		$3.00	$1,505.50	$2,165.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,009.60 / $1,896.65 / $2,756.33	Professional		$1,009.60	$1,896.65	$2,756.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,683.30 / $1,683.30 / $1,980.40	Professional		$1,683.30	$1,683.30	$1,980.40