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 $1,403.73 / $2,391.10 / $8,891.84	Professional		$1,403.73	$2,391.10	$8,891.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,367.27 / $3,792.97 / $4,239.50	Professional		$3,367.27	$3,792.97	$4,239.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,471.96 / $2,461.44 / $4,254.12	Professional		$1,471.96	$2,461.44	$4,254.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,219.50 / $3,682.29 / $7,305.00	Facility		$2,219.50	$3,682.29	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,812.92 / $3,601.05 / $6,420.77	Professional		$1,812.92	$3,601.05	$6,420.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,417.57 / $3,516.72 / $4,706.35	Facility		$2,417.57	$3,516.72	$4,706.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,417.57 / $3,461.40 / $4,706.35	Professional		$2,417.57	$3,461.40	$4,706.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,585.92 / $2,597.23 / $3,163.38	Professional		$1,585.92	$2,597.23	$3,163.38
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 $1,737.39 / $3,475.91 / $4,918.01	Professional		$1,737.39	$3,475.91	$4,918.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,506.98 / $3,173.40 / $3,733.50	Professional		$2,506.98	$3,173.40	$3,733.50