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 $1,413.40 / $2,411.46 / $8,979.49	Professional		$1,413.40	$2,411.46	$8,979.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,394.54 / $3,836.84 / $4,295.95	Professional		$3,394.54	$3,836.84	$4,295.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,490.32 / $2,460.59 / $4,221.56	Professional		$1,490.32	$2,460.59	$4,221.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,195.87 / $3,713.66 / $7,305.00	Facility		$2,195.87	$3,713.66	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,827.54 / $3,627.23 / $6,472.54	Professional		$1,827.54	$3,627.23	$6,472.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,418.09 / $3,516.72 / $4,744.17	Facility		$2,418.09	$3,516.72	$4,744.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,418.09 / $3,507.26 / $4,744.17	Professional		$2,418.09	$3,507.26	$4,744.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,610.88 / $2,620.44 / $3,224.71	Professional		$1,610.88	$2,620.44	$3,224.71
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 $1,751.39 / $2,994.93 / $4,957.66	Professional		$1,751.39	$2,994.93	$4,957.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,540.25 / $3,215.50 / $3,782.90	Professional		$2,540.25	$3,215.50	$3,782.90