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 $1,214.54 / $2,062.17 / $2,062.17	Professional		$1,214.54	$2,062.17	$2,062.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,904.48 / $3,296.87 / $3,658.22	Professional		$2,904.48	$3,296.87	$3,658.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,269.88 / $2,165.41 / $3,592.50	Professional		$1,269.88	$2,165.41	$3,592.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $3,296.87 / $7,305.00	Facility		$2,387.00	$3,296.87	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,562.96 / $3,102.11 / $5,535.50	Professional		$1,562.96	$3,102.11	$5,535.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,075.28 / $2,991.24 / $4,057.36	Facility		$2,075.28	$2,991.24	$4,057.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,075.28 / $2,991.24 / $4,057.36	Professional		$2,075.28	$2,991.24	$4,057.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,370.56 / $2,238.39 / $2,740.58	Professional		$1,370.56	$2,238.39	$2,740.58
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 $1,497.84 / $2,683.09 / $4,239.93	Professional		$1,497.84	$2,683.09	$4,239.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,166.50 / $2,742.40 / $3,226.30	Professional		$2,166.50	$2,742.40	$3,226.30