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 $1,182.75 / $2,018.60 / $7,452.47	Professional		$1,182.75	$2,018.60	$7,452.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,810.21 / $3,195.61 / $3,585.68	Professional		$2,810.21	$3,195.61	$3,585.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,245.81 / $1,953.06 / $4,727.04	Professional		$1,245.81	$1,953.06	$4,727.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,901.82 / $3,396.00 / $7,305.00	Facility		$1,901.82	$3,396.00	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,650.62 / $3,195.61 / $5,865.35	Professional		$1,650.62	$3,195.61	$5,865.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,363.64 / $3,195.61 / $3,974.16	Facility		$2,363.64	$3,195.61	$3,974.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,363.64 / $3,195.61 / $3,974.16	Professional		$2,363.64	$3,195.61	$3,974.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,344.92 / $2,184.67 / $2,681.69	Professional		$1,344.92	$2,184.67	$2,681.69
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 $1,478.74 / $3,040.05 / $4,256.20	Professional		$1,478.74	$3,040.05	$4,256.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,110.09 / $2,671.00 / $3,142.40	Professional		$2,110.09	$2,671.00	$3,142.40