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 $1,418.22 / $2,430.52 / $8,817.99	Professional		$1,418.22	$2,430.52	$8,817.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,362.60 / $3,864.38 / $4,341.58	Professional		$3,362.60	$3,864.38	$4,341.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,521.64 / $2,412.01 / $5,195.52	Professional		$1,521.64	$2,412.01	$5,195.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,310.63 / $3,864.38 / $7,305.00	Facility		$2,310.63	$3,864.38	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,860.90 / $3,679.80 / $6,841.20	Professional		$1,860.90	$3,679.80	$6,841.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,616.02 / $3,542.18 / $4,762.68	Facility		$2,616.02	$3,542.18	$4,762.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,616.02 / $3,542.18 / $4,762.68	Professional		$2,616.02	$3,542.18	$4,762.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,649.29 / $2,638.63 / $3,311.87	Professional		$1,649.29	$2,638.63	$3,311.87
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 $1,783.36 / $3,194.55 / $5,132.97	Professional		$1,783.36	$3,194.55	$5,132.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,565.53 / $3,247.50 / $3,820.60	Professional		$2,565.53	$3,247.50	$3,820.60