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 $1,766.49 / $2,807.12 / $3,543.60	Professional		$1,766.49	$2,807.12	$3,543.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,662.00 / $4,434.87 / $5,497.45	Professional		$3,662.00	$4,434.87	$5,497.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,936.19 / $2,937.66 / $7,035.28	Professional		$1,936.19	$2,937.66	$7,035.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,807.12 / $4,322.96 / $5,996.82	Facility		$2,807.12	$4,322.96	$5,996.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,059.09 / $3,933.90 / $14,715.60	Professional		$2,059.09	$3,933.90	$14,715.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,568.68 / $4,626.60 / $5,814.84	Facility		$3,568.68	$4,626.60	$5,814.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,981.24 / $4,434.87 / $5,814.84	Professional		$2,981.24	$4,434.87	$5,814.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,146.13 / $3,331.13 / $4,431.66	Professional		$2,146.13	$3,331.13	$4,431.66
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 $2,019.70 / $2,995.04 / $6,093.60	Professional		$2,019.70	$2,995.04	$6,093.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,222.88 / $4,079.60 / $4,799.50	Professional		$3,222.88	$4,079.60	$4,799.50