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 $1,038.06 / $1,766.88 / $6,589.49	Professional		$1,038.06	$1,766.88	$6,589.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,499.35 / $2,888.06 / $3,132.18	Professional		$2,499.35	$2,888.06	$3,132.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,085.74 / $1,858.62 / $2,336.16	Professional		$1,085.74	$1,858.62	$2,336.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,149.00 / $2,888.06 / $7,305.00	Facility		$2,149.00	$2,888.06	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,335.00 / $2,692.25 / $4,728.13	Professional		$1,335.00	$2,692.25	$4,728.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,782.94 / $2,650.50 / $3,466.69	Facility		$1,782.94	$2,650.50	$3,466.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,782.94 / $2,558.92 / $3,466.69	Professional		$1,782.94	$2,558.92	$3,466.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,168.52 / $1,921.26 / $2,330.44	Professional		$1,168.52	$1,921.26	$2,330.44
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 $1,279.38 / $2,561.15 / $3,621.52	Professional		$1,279.38	$2,561.15	$3,621.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,853.42 / $2,346.10 / $2,760.10	Professional		$1,853.42	$2,346.10	$2,760.10