Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,435.00 / $4,737.06 / $6,626.07	Facility		$2,435.00	$4,737.06	$6,626.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,607.10 / $1,874.95 / $2,361.94	Professional		$1,607.10	$1,874.95	$2,361.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,922.00 / $2,922.00 / $2,922.00	Facility		$2,922.00	$2,922.00	$2,922.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,165.50 / $4,422.72 / $5,528.40	Professional		$3,165.50	$4,422.72	$5,528.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,069.75 / $3,287.25 / $4,407.35	Professional		$2,069.75	$3,287.25	$4,407.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,874.95 / $3,165.50 / $7,427.48	Facility		$1,874.95	$3,165.50	$7,427.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,461.00 / $1,461.00 / $9,774.58	Professional		$1,461.00	$1,461.00	$9,774.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,922.00 / $3,165.50 / $7,427.48	Facility		$2,922.00	$3,165.50	$7,427.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,922.00 / $3,165.50 / $7,427.48	Professional		$2,922.00	$3,165.50	$7,427.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,435.00 / $2,435.00 / $4,346.47	Professional		$2,435.00	$2,435.00	$4,346.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,461.00 / $1,461.00 / $5,308.30	Professional		$1,461.00	$1,461.00	$5,308.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,435.00 / $2,435.00 / $2,435.00	Professional		$2,435.00	$2,435.00	$2,435.00