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 $3,007.44 / $5,140.27 / $19,029.59	Professional		$3,007.44	$5,140.27	$19,029.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,163.82 / $8,160.98 / $9,164.77	Professional		$7,163.82	$8,160.98	$9,164.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,186.59 / $5,033.77 / $10,576.64	Professional		$3,186.59	$5,033.77	$10,576.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,396.00 / $7,123.00 / $9,164.77	Facility		$3,396.00	$7,123.00	$9,164.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,925.99 / $7,804.70 / $12,044.02	Professional		$3,925.99	$7,804.70	$12,044.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,604.00 / $7,463.54 / $10,113.95	Facility		$4,604.00	$7,463.54	$10,113.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,604.00 / $7,463.54 / $10,113.95	Professional		$4,604.00	$7,463.54	$10,113.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,451.99 / $5,569.72 / $6,911.75	Professional		$3,451.99	$5,569.72	$6,911.75
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 $3,918.52 / $7,581.71 / $10,765.28	Professional		$3,918.52	$7,581.71	$10,765.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,405.65 / $6,842.60 / $8,050.20	Professional		$5,405.65	$6,842.60	$8,050.20