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 $1,283.99 / $2,069.39 / $2,069.39	Professional		$1,283.99	$2,069.39	$2,069.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,100.82 / $3,485.54 / $3,975.41	Professional		$3,100.82	$3,485.54	$3,975.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.40 / $2,186.76 / $4,309.95	Professional		$1,350.40	$2,186.76	$4,309.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,123.84 / $3,328.28 / $6,608.00	Facility		$2,123.84	$3,328.28	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,792.81 / $3,327.91 / $10,799.88	Professional		$1,792.81	$3,327.91	$10,799.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,192.77 / $3,204.30 / $4,306.38	Facility		$2,192.77	$3,204.30	$4,306.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,336.00 / $3,188.48 / $4,306.38	Professional		$2,336.00	$3,188.48	$4,306.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,457.84 / $2,383.34 / $3,004.76	Professional		$1,457.84	$2,383.34	$3,004.76
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 $1,581.45 / $2,479.77 / $4,476.59	Professional		$1,581.45	$2,479.77	$4,476.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,699.80 / $2,699.80 / $3,176.20	Professional		$2,699.80	$2,699.80	$3,176.20