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 $1,450.02 / $2,469.78 / $9,191.98	Professional		$1,450.02	$2,469.78	$9,191.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,481.80 / $4,328.93 / $4,378.81	Professional		$3,481.80	$4,328.93	$4,378.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,519.92 / $2,659.30 / $4,489.85	Professional		$1,519.92	$2,659.30	$4,489.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,904.39 / $3,932.33 / $7,305.00	Facility		$2,904.39	$3,932.33	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,871.92 / $3,724.62 / $6,629.70	Professional		$1,871.92	$3,724.62	$6,629.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,493.33 / $3,724.62 / $4,860.13	Facility		$2,493.33	$3,724.62	$4,860.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,493.33 / $3,575.66 / $4,860.13	Professional		$2,493.33	$3,575.66	$4,860.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,637.12 / $2,683.56 / $3,265.12	Professional		$1,637.12	$2,683.56	$3,265.12
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 $1,793.92 / $3,627.76 / $5,108.14	Professional		$1,793.92	$3,627.76	$5,108.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,589.78 / $3,278.20 / $3,856.70	Professional		$2,589.78	$3,278.20	$3,856.70