Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,279.00 / $4,433.58 / $6,201.57	Facility		$2,279.00	$4,433.58	$6,201.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,159.45 / $6,159.45 / $6,159.45	Professional		$6,159.45	$6,159.45	$6,159.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,734.80 / $4,139.39 / $5,174.26	Professional		$2,734.80	$4,139.39	$5,174.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,937.15 / $3,076.65 / $4,124.99	Professional		$1,937.15	$3,076.65	$4,124.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,279.00 / $2,940.89 / $5,834.24	Facility		$2,279.00	$2,940.89	$5,834.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,367.40 / $1,529.21 / $8,562.83	Professional		$1,367.40	$1,529.21	$8,562.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,734.80 / $3,460.36 / $4,994.62	Facility		$2,734.80	$3,460.36	$4,994.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,734.80 / $4,167.72 / $5,948.19	Professional		$2,734.80	$4,167.72	$5,948.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,279.00 / $2,279.00 / $4,068.01	Professional		$2,279.00	$2,279.00	$4,068.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,367.40 / $1,367.40 / $7,354.56	Professional		$1,367.40	$1,367.40	$7,354.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,279.00 / $2,279.00 / $2,279.00	Professional		$2,279.00	$2,279.00	$2,279.00