Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,090.30 / $5,370.32	Facility		$851.14	$3,090.30	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,511.89	Professional		$1,318.26	$1,698.24	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,801.89 / $4,786.30	Professional		$2,570.40	$3,801.89	$4,786.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,511.89 / $3,467.37	Professional		$1,584.89	$2,511.89	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $4,570.88	Facility		$1,995.26	$2,398.83	$4,570.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,398.83 / $7,762.47	Professional		$1,202.26	$2,398.83	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,570.40	Professional		$2,398.83	$2,398.83	$2,570.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,187.76 / $4,265.80	Professional		$1,995.26	$2,187.76	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $4,570.88	Facility		$1,995.26	$1,995.26	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $5,011.87	Professional		$1,202.26	$1,202.26	$5,011.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26