Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,361.38 / $2,160.35 / $2,729.32	Professional		$1,361.38	$2,160.35	$2,729.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.59 / $3,423.18 / $4,220.22	Professional		$2,754.59	$3,423.18	$4,220.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,487.60 / $2,266.17 / $4,618.82	Professional		$1,487.60	$2,266.17	$4,618.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,160.35 / $3,348.54 / $5,045.80	Facility		$2,160.35	$3,348.54	$5,045.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,579.47 / $3,017.69 / $11,343.28	Professional		$1,579.47	$3,017.69	$11,343.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,744.00 / $3,562.56 / $4,470.22	Facility		$2,744.00	$3,562.56	$4,470.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,293.29 / $3,417.79 / $4,470.22	Professional		$2,293.29	$3,417.79	$4,470.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,645.75 / $2,569.71 / $3,395.30	Professional		$1,645.75	$2,569.71	$3,395.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,407.10	Facility		$2,126.00	$5,854.53	$7,407.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,507.67 / $2,286.27 / $4,307.64	Professional		$1,507.67	$2,286.27	$4,307.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,481.71 / $3,141.40 / $3,695.70	Professional		$2,481.71	$3,141.40	$3,695.70