Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.13 / $1,587.42 / $4,589.20	Professional		$1,012.13	$1,587.42	$4,589.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,115.90 / $2,609.98 / $3,262.48	Professional		$2,115.90	$2,609.98	$3,262.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.08 / $1,757.40 / $3,827.87	Professional		$1,148.08	$1,757.40	$3,827.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,587.42 / $2,682.74 / $11,688.00	Facility		$1,587.42	$2,682.74	$11,688.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,168.59 / $2,217.92 / $9,295.71	Professional		$1,168.59	$2,217.92	$9,295.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,947.00 / $2,605.66 / $3,322.27	Facility		$1,947.00	$2,605.66	$3,322.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,689.19 / $2,540.11 / $3,322.27	Professional		$1,689.19	$2,540.11	$3,322.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.26 / $1,992.78 / $2,611.71	Professional		$1,267.26	$1,992.78	$2,611.71
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,123.51 / $1,699.78 / $3,187.08	Professional		$1,123.51	$1,699.78	$3,187.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,920.41 / $2,430.90 / $2,859.90	Professional		$1,920.41	$2,430.90	$2,859.90