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 $1,120.73 / $1,746.18 / $2,144.30	Professional		$1,120.73	$1,746.18	$2,144.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,257.00 / $2,752.56 / $3,440.70	Professional		$2,257.00	$2,752.56	$3,440.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,163.83 / $1,866.74 / $6,854.53	Professional		$1,163.83	$1,866.74	$6,854.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,746.18 / $2,951.04 / $11,688.00	Facility		$1,746.18	$2,951.04	$11,688.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,295.15 / $2,452.84 / $11,130.10	Professional		$1,295.15	$2,452.84	$11,130.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,255.37 / $2,740.88 / $3,691.42	Facility		$2,255.37	$2,740.88	$3,691.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,899.60 / $2,740.88 / $3,691.42	Professional		$1,899.60	$2,740.88	$3,691.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.70 / $2,073.84 / $2,428.73	Professional		$1,165.70	$2,073.84	$2,428.73
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 $1,236.28 / $1,883.86 / $3,568.20	Professional		$1,236.28	$1,883.86	$3,568.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,909.27 / $2,416.80 / $2,843.30	Professional		$1,909.27	$2,416.80	$2,843.30