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 $1,157.78 / $1,285.69 / $1,285.69	Professional		$1,157.78	$1,285.69	$1,285.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,318.04 / $2,609.34 / $2,919.68	Professional		$2,318.04	$2,609.34	$2,919.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $980.00 / $1,682.66 / $2,817.50	Professional		$980.00	$1,682.66	$2,817.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,455.28 / $2,616.69 / $7,799.00	Facility		$1,455.28	$2,616.69	$7,799.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,262.76 / $2,460.44 / $7,861.04	Professional		$1,262.76	$2,460.44	$7,861.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,600.75 / $2,371.48 / $3,144.19	Facility		$1,600.75	$2,371.48	$3,144.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,600.75 / $2,318.04 / $3,144.19	Professional		$1,600.75	$2,318.04	$3,144.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $971.30 / $1,772.21 / $2,068.39	Professional		$971.30	$1,772.21	$2,068.39
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 $1,169.22 / $2,094.42 / $3,309.70	Professional		$1,169.22	$2,094.42	$3,309.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,008.00 / $2,008.00 / $2,362.30	Professional		$2,008.00	$2,008.00	$2,362.30