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 $1,993.39 / $2,770.21 / $2,770.21	Professional		$1,993.39	$2,770.21	$2,770.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.83 / $4,391.93 / $4,912.06	Professional		$3,890.83	$4,391.93	$4,912.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,705.32 / $2,907.64 / $4,921.13	Professional		$1,705.32	$2,907.64	$4,921.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,380.58 / $7,305.00	Facility		$2,950.00	$4,380.58	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,103.38 / $4,176.81 / $7,449.49	Professional		$2,103.38	$4,176.81	$7,449.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,805.55 / $4,176.81 / $5,451.90	Facility		$2,805.55	$4,176.81	$5,451.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,805.55 / $4,005.79 / $5,451.90	Professional		$2,805.55	$4,005.79	$5,451.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,837.93 / $3,005.63 / $3,665.50	Professional		$1,837.93	$3,005.63	$3,665.50
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 $2,015.74 / $4,088.98 / $5,705.95	Professional		$2,015.74	$4,088.98	$5,705.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,901.28 / $3,672.50 / $4,320.60	Professional		$2,901.28	$3,672.50	$4,320.60