Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,609.26 / $2,649.01 / $2,649.01	Professional		$1,609.26	$2,649.01	$2,649.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,892.25 / $4,309.60 / $4,925.85	Professional		$3,892.25	$4,309.60	$4,925.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,629.46 / $2,610.94 / $7,028.85	Professional		$1,629.46	$2,610.94	$7,028.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,542.35 / $4,133.00 / $8,868.00	Facility		$2,542.35	$4,133.00	$8,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,096.86 / $4,095.17 / $23,475.40	Professional		$2,096.86	$4,095.17	$23,475.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,714.37 / $4,037.12 / $5,318.44	Facility		$2,714.37	$4,037.12	$5,318.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,528.00 / $3,892.25 / $5,318.44	Professional		$2,528.00	$3,892.25	$5,318.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $3,238.20 / $4,481.60	Professional		$5.00	$3,238.20	$4,481.60
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,946.05 / $3,528.15 / $5,508.68	Professional		$1,946.05	$3,528.15	$5,508.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,170.70 / $3,170.70 / $3,730.20	Professional		$3,170.70	$3,170.70	$3,730.20