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 $1,591.62 / $2,527.86 / $3,110.91	Professional		$1,591.62	$2,527.86	$3,110.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,257.00 / $3,998.34 / $4,945.46	Professional		$3,257.00	$3,998.34	$4,945.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,741.76 / $2,659.72 / $6,305.86	Professional		$1,741.76	$2,659.72	$6,305.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,527.86 / $3,892.90 / $5,539.63	Facility		$2,527.86	$3,892.90	$5,539.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,850.43 / $3,534.96 / $13,260.16	Professional		$1,850.43	$3,534.96	$13,260.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,217.41 / $4,165.89 / $5,234.03	Facility		$3,217.41	$4,165.89	$5,234.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,654.18 / $3,998.34 / $5,234.03	Professional		$2,654.18	$3,998.34	$5,234.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,928.98 / $3,001.91 / $3,981.57	Professional		$1,928.98	$3,001.91	$3,981.57
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 $1,766.32 / $2,691.54 / $4,943.34	Professional		$1,766.32	$2,691.54	$4,943.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,901.99 / $3,673.40 / $4,321.60	Professional		$2,901.99	$3,673.40	$4,321.60