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 $1,173.96 / $2,026.84 / $2,026.84	Professional		$1,173.96	$2,026.84	$2,026.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,717.54 / $3,170.21 / $3,568.28	Professional		$2,717.54	$3,170.21	$3,568.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,214.51 / $1,927.89 / $3,223.98	Professional		$1,214.51	$1,927.89	$3,223.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,655.62 / $2,931.75 / $6,608.00	Facility		$1,655.62	$2,931.75	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,500.07 / $2,979.07 / $11,552.00	Professional		$1,500.07	$2,979.07	$11,552.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,942.35 / $2,878.43 / $3,834.53	Facility		$1,942.35	$2,878.43	$3,834.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,942.35 / $2,878.43 / $3,834.53	Professional		$1,942.35	$2,878.43	$3,834.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,285.79 / $2,172.92 / $2,581.82	Professional		$1,285.79	$2,172.92	$2,581.82
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 $1,389.77 / $2,535.90 / $4,007.34	Professional		$1,389.77	$2,535.90	$4,007.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,493.40 / $2,493.40 / $2,933.40	Professional		$2,493.40	$2,493.40	$2,933.40