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 $1,993.66 / $3,407.98 / $12,497.10	Professional		$1,993.66	$3,407.98	$12,497.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,683.17 / $5,853.96 / $6,226.53	Professional		$4,683.17	$5,853.96	$6,226.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,087.73 / $3,275.56 / $8,412.16	Professional		$2,087.73	$3,275.56	$8,412.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,839.52 / $5,346.01 / $7,305.00	Facility		$2,839.52	$5,346.01	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,775.08 / $5,607.41 / $12,579.36	Professional		$2,775.08	$5,607.41	$12,579.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,465.00 / $5,346.01 / $6,684.01	Facility		$3,465.00	$5,346.01	$6,684.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,465.00 / $5,170.28 / $7,042.27	Professional		$3,465.00	$5,170.28	$7,042.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,255.81 / $3,651.52 / $4,497.59	Professional		$2,255.81	$3,651.52	$4,497.59
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 $2,493.23 / $5,239.57 / $9,214.12	Professional		$2,493.23	$5,239.57	$9,214.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,528.06 / $4,465.89 / $5,254.00	Professional		$3,528.06	$4,465.89	$5,254.00