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 $1,994.65 / $3,419.80 / $12,375.00	Professional		$1,994.65	$3,419.80	$12,375.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,720.57 / $5,435.19 / $6,109.44	Professional		$4,720.57	$5,435.19	$6,109.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,142.39 / $3,397.84 / $6,970.88	Professional		$2,142.39	$3,397.84	$6,970.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,243.68 / $5,266.49 / $7,305.00	Facility		$3,243.68	$5,266.49	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,620.67 / $5,173.14 / $9,599.28	Professional		$2,620.67	$5,173.14	$9,599.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,532.10 / $4,981.77 / $6,699.93	Facility		$3,532.10	$4,981.77	$6,699.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,532.10 / $4,981.77 / $6,699.93	Professional		$3,532.10	$4,981.77	$6,699.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,322.33 / $3,709.99 / $4,665.49	Professional		$2,322.33	$3,709.99	$4,665.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,511.48 / $5,043.39 / $7,109.25	Professional		$2,511.48	$5,043.39	$7,109.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,608.17 / $4,567.30 / $5,373.30	Professional		$3,608.17	$4,567.30	$5,373.30