Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.11 / $1,800.09 / $1,800.09	Professional		$1,086.11	$1,800.09	$1,800.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,271.48 / $2,939.58 / $3,323.84	Professional		$2,271.48	$2,939.58	$3,323.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.10 / $1,772.34 / $5,267.18	Professional		$1,127.10	$1,772.34	$5,267.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,358.15 / $2,692.85 / $6,608.00	Facility		$1,358.15	$2,692.85	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,359.31 / $2,741.28 / $8,869.76	Professional		$1,359.31	$2,741.28	$8,869.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,757.60 / $2,681.83 / $3,507.66	Facility		$1,757.60	$2,681.83	$3,507.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,757.60 / $2,692.85 / $3,625.25	Professional		$1,757.60	$2,692.85	$3,625.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.04 / $2,012.67 / $2,443.48	Professional		$1,213.04	$2,012.67	$2,443.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,294.52 / $2,333.48 / $3,687.47	Professional		$1,294.52	$2,333.48	$3,687.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,193.60 / $2,193.60 / $2,580.80	Professional		$2,193.60	$2,193.60	$2,580.80