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 $1,622.96 / $2,576.78 / $3,214.81	Professional		$1,622.96	$2,576.78	$3,214.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,337.00 / $4,078.75 / $5,037.01	Professional		$3,337.00	$4,078.75	$5,037.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,775.12 / $2,745.54 / $5,481.57	Professional		$1,775.12	$2,745.54	$5,481.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,576.78 / $3,992.29 / $5,781.62	Facility		$2,576.78	$3,992.29	$5,781.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,885.04 / $3,600.92 / $13,522.32	Professional		$1,885.04	$3,600.92	$13,522.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,282.12 / $4,248.16 / $5,328.43	Facility		$3,282.12	$4,248.16	$5,328.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,719.22 / $4,073.92 / $5,328.43	Professional		$2,719.22	$4,073.92	$5,328.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,965.11 / $3,062.28 / $4,055.52	Professional		$1,965.11	$3,062.28	$4,055.52
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 $1,885.04 / $2,741.87 / $5,578.51	Professional		$1,885.04	$2,741.87	$5,578.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,959.26 / $3,745.90 / $4,406.89	Professional		$2,959.26	$3,745.90	$4,406.89