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 $1,299.38 / $1,716.50 / $1,716.50	Professional		$1,299.38	$1,716.50	$1,716.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,037.48 / $3,497.00 / $3,952.96	Professional		$3,037.48	$3,497.00	$3,952.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,315.10 / $2,153.71 / $3,600.54	Professional		$1,315.10	$2,153.71	$3,600.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,855.96 / $3,123.70 / $6,608.00	Facility		$1,855.96	$3,123.70	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,606.43 / $3,239.63 / $10,561.60	Professional		$1,606.43	$3,239.63	$10,561.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,115.30 / $3,123.70 / $4,220.85	Facility		$2,115.30	$3,123.70	$4,220.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,115.30 / $3,123.70 / $4,220.85	Professional		$2,115.30	$3,123.70	$4,220.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,391.70 / $2,387.30 / $2,791.60	Professional		$1,391.70	$2,387.30	$2,791.60
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 $1,539.49 / $2,757.70 / $4,357.84	Professional		$1,539.49	$2,757.70	$4,357.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,705.90 / $2,705.90 / $3,183.40	Professional		$2,705.90	$2,705.90	$3,183.40