Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,376.00 / $10,808.20 / $11,417.40	Facility		$5,376.00	$10,808.20	$11,417.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,072.00 / $3,187.20 / $3,366.00	Professional		$3,072.00	$3,187.20	$3,366.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,963.27	Professional		$3,264.00	$3,264.00	$3,963.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,916.53 / $3,207.86 / $3,761.39	Professional		$2,916.53	$3,207.86	$3,761.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,866.58 / $3,960.00 / $17,490.00	Facility		$1,866.58	$3,960.00	$17,490.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $6,400.00	Professional		$3,200.00	$3,200.00	$6,400.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,493.03 / $5,241.85 / $7,039.07	Facility		$4,493.03	$5,241.85	$7,039.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,963.27 / $3,963.27 / $3,963.27	Professional		$3,963.27	$3,963.27	$3,963.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,705.14 / $8,410.62 / $9,486.70	Professional		$3,705.14	$8,410.62	$9,486.70
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,520.00	Professional		$3,200.00	$3,200.00	$3,520.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,607.00 / $3,300.00 / $3,300.00	Professional		$2,607.00	$3,300.00	$3,300.00