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 $1,351.90 / $2,304.80 / $8,546.12	Professional		$1,351.90	$2,304.80	$8,546.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,225.47 / $3,702.80 / $4,088.18	Professional		$3,225.47	$3,702.80	$4,088.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,418.38 / $2,562.87 / $4,120.22	Professional		$1,418.38	$2,562.87	$4,120.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,703.24 / $3,650.83 / $7,305.00	Facility		$2,703.24	$3,650.83	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,753.39 / $3,488.92 / $6,129.24	Professional		$1,753.39	$3,488.92	$6,129.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,343.90 / $3,488.92 / $4,539.34	Facility		$2,343.90	$3,488.92	$4,539.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,343.90 / $3,327.48 / $4,539.34	Professional		$2,343.90	$3,327.48	$4,539.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,529.37 / $2,496.36 / $3,049.82	Professional		$1,529.37	$2,496.36	$3,049.82
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 $1,680.33 / $3,396.69 / $4,756.51	Professional		$1,680.33	$3,396.69	$4,756.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,410.05 / $3,050.70 / $3,589.00	Professional		$2,410.05	$3,050.70	$3,589.00