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 $1,681.87 / $2,872.69 / $10,568.20	Professional		$1,681.87	$2,872.69	$10,568.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,980.42 / $4,975.53 / $5,303.87	Professional		$3,980.42	$4,975.53	$5,303.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,774.86 / $2,784.99 / $5,767.68	Professional		$1,774.86	$2,784.99	$5,767.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,418.54 / $4,854.85 / $7,305.00	Facility		$2,418.54	$4,854.85	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,349.04 / $4,441.16 / $8,714.61	Professional		$2,349.04	$4,441.16	$8,714.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,936.07 / $4,543.14 / $5,658.95	Facility		$2,936.07	$4,543.14	$5,658.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,936.07 / $4,387.70 / $5,959.79	Professional		$2,936.07	$4,387.70	$5,959.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,917.85 / $3,104.08 / $3,824.01	Professional		$1,917.85	$3,104.08	$3,824.01
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 $2,202.23 / $4,267.34 / $6,574.38	Professional		$2,202.23	$4,267.34	$6,574.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,999.39 / $3,796.70 / $4,466.60	Professional		$2,999.39	$3,796.70	$4,466.60