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 $1,363.32 / $2,163.02 / $2,690.37	Professional		$1,363.32	$2,163.02	$2,690.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,757.19 / $3,426.41 / $4,222.04	Professional		$2,757.19	$3,426.41	$4,222.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,488.07 / $2,473.29 / $5,412.35	Professional		$1,488.07	$2,473.29	$5,412.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,163.02 / $3,352.68 / $5,244.00	Facility		$2,163.02	$3,352.68	$5,244.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,578.46 / $3,013.04 / $11,352.24	Professional		$1,578.46	$3,013.04	$11,352.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,734.00 / $3,564.74 / $4,461.47	Facility		$2,734.00	$3,564.74	$4,461.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,269.78 / $3,411.09 / $4,461.47	Professional		$2,269.78	$3,411.09	$4,461.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,646.08 / $2,571.44 / $3,396.02	Professional		$1,646.08	$2,571.44	$3,396.02
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 $1,541.00 / $2,295.94 / $4,216.77	Professional		$1,541.00	$2,295.94	$4,216.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,483.21 / $3,143.30 / $3,698.00	Professional		$2,483.21	$3,143.30	$3,698.00