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 $1,069.39 / $1,763.77 / $1,883.24	Professional		$1,069.39	$1,763.77	$1,883.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,240.00 / $2,782.17 / $3,477.71	Professional		$2,240.00	$2,782.17	$3,477.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,132.35 / $1,798.23 / $3,858.63	Professional		$1,132.35	$1,798.23	$3,858.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,496.93 / $2,691.42 / $3,579.06	Facility		$1,496.93	$2,691.42	$3,579.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,267.54 / $2,486.79 / $10,776.75	Professional		$1,267.54	$2,486.79	$10,776.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $2,724.14 / $3,789.57	Facility		$2,240.00	$2,724.14	$3,789.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,699.51 / $2,724.14 / $3,789.57	Professional		$1,699.51	$2,724.14	$3,789.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,142.58 / $2,039.52 / $2,372.26	Professional		$1,142.58	$2,039.52	$2,372.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,856.00	Facility		$2,126.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,259.29 / $1,931.49 / $3,621.54	Professional		$1,259.29	$1,931.49	$3,621.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,897.66 / $2,402.10 / $2,826.00	Professional		$1,897.66	$2,402.10	$2,826.00