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 $1,537.06 / $2,481.66 / $2,481.66	Professional		$1,537.06	$2,481.66	$2,481.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.56 / $4,169.87 / $4,767.07	Professional		$3,467.56	$4,169.87	$4,767.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,622.84 / $2,559.42 / $6,430.92	Professional		$1,622.84	$2,559.42	$6,430.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,174.64 / $3,821.76 / $6,608.00	Facility		$2,174.64	$3,821.76	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,135.61 / $4,019.04 / $11,368.80	Professional		$2,135.61	$4,019.04	$11,368.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,648.18 / $3,814.38 / $5,162.47	Facility		$2,648.18	$3,814.38	$5,162.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,648.18 / $3,814.38 / $5,422.72	Professional		$2,648.18	$3,814.38	$5,422.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,755.29 / $3,133.19 / $3,585.42	Professional		$1,755.29	$3,133.19	$3,585.42
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 $1,992.91 / $3,421.17 / $5,406.27	Professional		$1,992.91	$3,421.17	$5,406.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,229.80 / $3,229.80 / $3,799.70	Professional		$3,229.80	$3,229.80	$3,799.70