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 $1,361.03 / $2,322.46 / $8,620.48	Professional		$1,361.03	$2,322.46	$8,620.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,242.61 / $3,691.28 / $4,119.71	Professional		$3,242.61	$3,691.28	$4,119.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,432.70 / $2,247.05 / $5,611.52	Professional		$1,432.70	$2,247.05	$5,611.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,334.39 / $3,691.28 / $7,305.00	Facility		$2,334.39	$3,691.28	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,893.99 / $3,800.98 / $6,969.17	Professional		$1,893.99	$3,800.98	$6,969.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,724.33 / $3,691.28 / $4,580.42	Facility		$2,724.33	$3,691.28	$4,580.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,837.89 / $3,691.28 / $4,657.37	Professional		$2,837.89	$3,691.28	$4,657.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,510.76 / $2,515.50 / $3,062.23	Professional		$1,510.76	$2,515.50	$3,062.23
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 $1,775.62 / $3,579.91 / $4,897.74	Professional		$1,775.62	$3,579.91	$4,897.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,430.59 / $3,076.70 / $3,619.60	Professional		$2,430.59	$3,076.70	$3,619.60