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 $1,471.54 / $2,336.32 / $2,907.17	Professional		$1,471.54	$2,336.32	$2,907.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,014.00 / $3,699.28 / $4,569.39	Professional		$3,014.00	$3,699.28	$4,569.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,609.87 / $2,448.94 / $4,997.00	Professional		$1,609.87	$2,448.94	$4,997.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,336.32 / $3,597.93 / $5,215.39	Facility		$2,336.32	$3,597.93	$5,215.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,710.52 / $3,269.81 / $12,265.60	Professional		$1,710.52	$3,269.81	$12,265.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,976.76 / $3,852.23 / $4,833.54	Facility		$2,976.76	$3,852.23	$4,833.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,462.29 / $3,695.56 / $4,833.54	Professional		$2,462.29	$3,695.56	$4,833.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,782.19 / $2,776.96 / $3,677.85	Professional		$1,782.19	$2,776.96	$3,677.85
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 $1,666.85 / $2,638.13 / $5,062.06	Professional		$1,666.85	$2,638.13	$5,062.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,683.47 / $3,396.80 / $3,996.20	Professional		$2,683.47	$3,396.80	$3,996.20