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 $1,183.65 / $2,016.86 / $7,497.44	Professional		$1,183.65	$2,016.86	$7,497.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,852.29 / $3,216.67 / $3,584.96	Professional		$2,852.29	$3,216.67	$3,584.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,243.84 / $1,953.63 / $4,044.80	Professional		$1,243.84	$1,953.63	$4,044.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,966.00 / $3,175.83 / $7,305.00	Facility		$1,966.00	$3,175.83	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,519.45 / $3,037.43 / $6,297.38	Professional		$1,519.45	$3,037.43	$6,297.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,033.47 / $2,932.29 / $3,964.39	Facility		$2,033.47	$2,932.29	$3,964.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,033.47 / $2,932.29 / $3,964.39	Professional		$2,033.47	$2,932.29	$3,964.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,341.76 / $2,195.13 / $2,682.48	Professional		$1,341.76	$2,195.13	$2,682.48
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 $1,456.14 / $2,946.45 / $4,121.89	Professional		$1,456.14	$2,946.45	$4,121.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,123.84 / $2,688.40 / $3,162.80	Professional		$2,123.84	$2,688.40	$3,162.80