Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,712.00 / $11,483.70 / $12,131.00	Facility		$5,712.00	$11,483.70	$12,131.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,386.40 / $3,725.04	Professional		$3,264.00	$3,386.40	$3,725.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,362.77 / $3,468.00 / $3,468.00	Professional		$3,362.77	$3,468.00	$3,468.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,648.03 / $2,912.54 / $3,415.11	Professional		$2,648.03	$2,912.54	$3,415.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,273.76 / $4,080.00 / $15,300.00	Facility		$1,273.76	$4,080.00	$15,300.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $6,800.00	Professional		$3,400.00	$3,400.00	$6,800.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,910.64 / $2,229.08 / $2,993.34	Facility		$1,910.64	$2,229.08	$2,993.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,362.77 / $3,362.77 / $3,362.77	Professional		$3,362.77	$3,362.77	$3,362.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,528.40 / $5,779.99 / $6,519.43	Professional		$2,528.40	$5,779.99	$6,519.43
United Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $3,774.00	Professional		$3,400.00	$3,400.00	$3,774.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,212.00 / $2,800.00 / $2,800.00	Professional		$2,212.00	$2,800.00	$2,800.00