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 $1,151.27 / $1,964.21 / $7,256.91	Professional		$1,151.27	$1,964.21	$7,256.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,742.43 / $3,225.02 / $3,484.25	Professional		$2,742.43	$3,225.02	$3,484.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,212.49 / $2,059.06 / $3,794.50	Professional		$1,212.49	$2,059.06	$3,794.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,964.21 / $3,110.14 / $7,305.00	Facility		$1,964.21	$3,110.14	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,498.39 / $2,992.24 / $5,306.81	Professional		$1,498.39	$2,992.24	$5,306.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,991.79 / $2,992.24 / $3,865.21	Facility		$1,991.79	$2,992.24	$3,865.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,991.79 / $2,838.40 / $3,865.21	Professional		$1,991.79	$2,838.40	$3,865.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,308.58 / $2,128.44 / $2,609.69	Professional		$1,308.58	$2,128.44	$2,609.69
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 $1,435.96 / $3,020.90 / $4,064.76	Professional		$1,435.96	$3,020.90	$4,064.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,055.82 / $2,602.30 / $3,061.50	Professional		$2,055.82	$2,602.30	$3,061.50