Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,496.00 / $4,964.00 / $7,119.04	Facility		$3,496.00	$4,964.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,697.68 / $2,876.97 / $3,216.15	Professional		$1,697.68	$2,876.97	$3,216.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,728.60 / $4,059.47 / $5,065.12	Professional		$2,728.60	$4,059.47	$5,065.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,439.99 / $2,246.82 / $6,002.84	Professional		$1,439.99	$2,246.82	$6,002.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,431.77 / $3,325.80 / $5,264.36	Facility		$1,431.77	$3,325.80	$5,264.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,775.22 / $3,608.64 / $10,064.84	Professional		$1,775.22	$3,608.64	$10,064.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,351.40 / $2,728.60 / $4,927.95	Facility		$1,351.40	$2,728.60	$4,927.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,435.00 / $3,694.30 / $5,575.38	Professional		$2,435.00	$3,694.30	$5,575.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,664.00 / $1,921.38 / $3,144.48	Professional		$1,664.00	$1,921.38	$3,144.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,482.00 / $5,454.00	Facility		$1,775.00	$3,482.00	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,797.20 / $3,026.86 / $5,637.53	Professional		$1,797.20	$3,026.86	$5,637.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,573.42 / $3,257.50 / $3,832.40	Professional		$2,573.42	$3,257.50	$3,832.40