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 $1,269.51 / $2,161.86 / $8,047.53	Professional		$1,269.51	$2,161.86	$8,047.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,049.40 / $3,430.95 / $3,832.37	Professional		$3,049.40	$3,430.95	$3,832.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,330.05 / $2,207.44 / $3,858.88	Professional		$1,330.05	$2,207.44	$3,858.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,966.00 / $3,396.00 / $7,305.00	Facility		$1,966.00	$3,396.00	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,637.04 / $3,252.80 / $5,797.85	Professional		$1,637.04	$3,252.80	$5,797.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,181.48 / $3,158.38 / $4,254.46	Facility		$2,181.48	$3,158.38	$4,254.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,181.48 / $3,130.25 / $4,254.46	Professional		$2,181.48	$3,130.25	$4,254.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,432.48 / $2,349.25 / $2,857.20	Professional		$1,432.48	$2,349.25	$2,857.20
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 $1,568.83 / $3,139.36 / $4,440.88	Professional		$1,568.83	$3,139.36	$4,440.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,267.14 / $2,869.80 / $3,376.30	Professional		$2,267.14	$2,869.80	$3,376.30