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 $1,242.40 / $2,115.61 / $7,878.66	Professional		$1,242.40	$2,115.61	$7,878.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,984.73 / $3,357.61 / $3,734.66	Professional		$2,984.73	$3,357.61	$3,734.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,301.07 / $2,121.39 / $3,669.91	Professional		$1,301.07	$2,121.39	$3,669.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,994.40 / $3,313.56 / $7,305.00	Facility		$1,994.40	$3,313.56	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,601.77 / $3,186.18 / $5,672.94	Professional		$1,601.77	$3,186.18	$5,672.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,134.71 / $3,062.57 / $4,163.67	Facility		$2,134.71	$3,062.57	$4,163.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,134.71 / $3,062.57 / $4,163.67	Professional		$2,134.71	$3,062.57	$4,163.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,401.03 / $2,298.79 / $2,794.22	Professional		$1,401.03	$2,298.79	$2,794.22
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 $1,535.03 / $3,186.18 / $4,345.21	Professional		$1,535.03	$3,186.18	$4,345.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,868.35 / $2,365.00 / $2,903.00	Professional		$1,868.35	$2,365.00	$2,903.00