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 $2,085.73 / $3,576.38 / $12,938.60	Professional		$2,085.73	$3,576.38	$12,938.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,933.26 / $5,683.61 / $6,390.47	Professional		$4,933.26	$5,683.61	$6,390.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,240.69 / $3,553.94 / $7,255.04	Professional		$2,240.69	$3,553.94	$7,255.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,398.32 / $5,507.63 / $7,364.74	Facility		$3,398.32	$5,507.63	$7,364.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,742.17 / $5,428.77 / $10,057.18	Professional		$2,742.17	$5,428.77	$10,057.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,862.61 / $5,208.84 / $7,006.31	Facility		$3,862.61	$5,208.84	$7,006.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,862.61 / $5,208.84 / $7,006.31	Professional		$3,862.61	$5,208.84	$7,006.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,431.11 / $3,879.03 / $4,879.83	Professional		$2,431.11	$3,879.03	$4,879.83
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 $2,627.91 / $4,570.28 / $7,563.81	Professional		$2,627.91	$4,570.28	$7,563.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,772.65 / $4,775.50 / $5,618.20	Professional		$3,772.65	$4,775.50	$5,618.20