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 $1,416.55 / $2,412.42 / $8,988.10	Professional		$1,416.55	$2,412.42	$8,988.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,400.77 / $3,828.42 / $4,275.53	Professional		$3,400.77	$3,828.42	$4,275.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,484.95 / $2,323.96 / $4,892.16	Professional		$1,484.95	$2,323.96	$4,892.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,125.71 / $3,715.14 / $7,305.00	Facility		$2,125.71	$3,715.14	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,829.88 / $3,652.54 / $7,576.99	Professional		$1,829.88	$3,652.54	$7,576.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,447.53 / $3,493.42 / $4,750.02	Facility		$2,447.53	$3,493.42	$4,750.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,447.53 / $3,493.42 / $4,750.02	Professional		$2,447.53	$3,493.42	$4,750.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,599.70 / $2,621.35 / $3,190.97	Professional		$1,599.70	$2,621.35	$3,190.97
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 $1,753.64 / $3,508.95 / $5,030.00	Professional		$1,753.64	$3,508.95	$5,030.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,530.21 / $3,202.80 / $3,768.00	Professional		$2,530.21	$3,202.80	$3,768.00