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 $1,265.08 / $2,154.40 / $8,021.39	Professional		$1,265.08	$2,154.40	$8,021.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,038.49 / $3,489.05 / $3,819.15	Professional		$3,038.49	$3,489.05	$3,819.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,325.04 / $2,264.33 / $3,627.86	Professional		$1,325.04	$2,264.33	$3,627.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,346.00 / $3,418.72 / $7,305.00	Facility		$2,346.00	$3,418.72	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,631.34 / $3,259.40 / $5,777.66	Professional		$1,631.34	$3,259.40	$5,777.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,176.78 / $3,259.40 / $4,239.80	Facility		$2,176.78	$3,259.40	$4,239.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,176.78 / $3,118.61 / $4,239.80	Professional		$2,176.78	$3,118.61	$4,239.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,426.99 / $2,340.64 / $2,846.13	Professional		$1,426.99	$2,340.64	$2,846.13
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 $1,563.37 / $3,161.90 / $4,499.78	Professional		$1,563.37	$3,161.90	$4,499.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,258.77 / $2,859.20 / $3,363.70	Professional		$2,258.77	$2,859.20	$3,363.70