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 $1,218.64 / $2,077.98 / $7,760.04	Professional		$1,218.64	$2,077.98	$7,760.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,935.65 / $3,308.18 / $3,701.45	Professional		$2,935.65	$3,308.18	$3,701.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.60 / $2,187.55 / $3,131.32	Professional		$1,283.60	$2,187.55	$3,131.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,389.00 / $3,308.18 / $7,305.00	Facility		$2,389.00	$3,308.18	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,571.46 / $3,169.11 / $5,565.59	Professional		$1,571.46	$3,169.11	$5,565.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,091.53 / $3,071.78 / $4,017.68	Facility		$2,091.53	$3,071.78	$4,017.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,091.53 / $3,026.18 / $4,017.68	Professional		$2,091.53	$3,026.18	$4,017.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,386.66 / $2,261.27 / $2,776.41	Professional		$1,386.66	$2,261.27	$2,776.41
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 $1,505.98 / $3,013.88 / $4,262.97	Professional		$1,505.98	$3,013.88	$4,262.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,191.78 / $2,774.40 / $3,264.00	Professional		$2,191.78	$2,774.40	$3,264.00