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 $1,206.93 / $1,915.61 / $2,400.71	Professional		$1,206.93	$1,915.61	$2,400.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,460.00 / $3,034.24 / $3,751.33	Professional		$2,460.00	$3,034.24	$3,751.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,320.39 / $2,169.85 / $4,107.33	Professional		$1,320.39	$2,169.85	$4,107.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,915.61 / $3,007.08 / $4,858.18	Facility		$1,915.61	$3,007.08	$4,858.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,390.48 / $2,640.46 / $10,274.83	Professional		$1,390.48	$2,640.46	$10,274.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,441.62 / $3,161.54 / $3,933.08	Facility		$2,441.62	$3,161.54	$3,933.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,029.37 / $3,007.08 / $3,933.08	Professional		$2,029.37	$3,007.08	$3,933.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,461.06 / $2,279.96 / $3,014.67	Professional		$1,461.06	$2,279.96	$3,014.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,856.00	Facility		$2,126.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,364.83 / $2,016.38 / $3,780.72	Professional		$1,364.83	$2,016.38	$3,780.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,202.36 / $2,787.80 / $3,279.70	Professional		$2,202.36	$2,787.80	$3,279.70