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 $1,286.07 / $1,286.07 / $2,170.29	Professional		$1,286.07	$1,286.07	$2,170.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,048.67 / $3,412.15 / $3,905.24	Professional		$3,048.67	$3,412.15	$3,905.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,287.92 / $2,156.71 / $3,616.02	Professional		$1,287.92	$2,156.71	$3,616.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,879.60 / $3,089.88 / $6,608.00	Facility		$1,879.60	$3,089.88	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,612.88 / $3,182.30 / $10,285.12	Professional		$1,612.88	$3,182.30	$10,285.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,092.67 / $3,058.92 / $4,127.81	Facility		$2,092.67	$3,058.92	$4,127.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,092.67 / $3,058.92 / $4,127.81	Professional		$2,092.67	$3,058.92	$4,127.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,257.17 / $2,291.30 / $2,714.60	Professional		$1,257.17	$2,291.30	$2,714.60
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 $1,512.25 / $2,708.90 / $4,280.72	Professional		$1,512.25	$2,708.90	$4,280.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,649.80 / $2,649.80 / $3,117.40	Professional		$2,649.80	$2,649.80	$3,117.40