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 $1,459.53 / $2,317.15 / $2,324.92	Professional		$1,459.53	$2,317.15	$2,324.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,906.00 / $3,586.98 / $4,522.17	Professional		$2,906.00	$3,586.98	$4,522.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,597.24 / $2,429.59 / $5,825.13	Professional		$1,597.24	$2,429.59	$5,825.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,317.15 / $3,513.83 / $5,029.87	Facility		$2,317.15	$3,513.83	$5,029.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,696.09 / $3,200.43 / $12,163.12	Professional		$1,696.09	$3,200.43	$12,163.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,906.00 / $3,449.57 / $4,664.18	Facility		$2,906.00	$3,449.57	$4,664.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,181.28 / $3,449.57 / $4,664.18	Professional		$2,181.28	$3,449.57	$4,664.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,768.38 / $2,755.01 / $3,649.83	Professional		$1,768.38	$2,755.01	$3,649.83
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 $1,652.62 / $2,467.04 / $4,625.70	Professional		$1,652.62	$2,467.04	$4,625.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,662.70 / $3,370.50 / $3,965.30	Professional		$2,662.70	$3,370.50	$3,965.30