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 $1,969.81 / $3,244.62 / $3,244.62	Professional		$1,969.81	$3,244.62	$3,244.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,755.42 / $5,270.83 / $6,001.99	Professional		$4,755.42	$5,270.83	$6,001.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.65 / $3,190.42 / $7,473.10	Professional		$1,995.65	$3,190.42	$7,473.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,542.35 / $4,988.50 / $8,868.00	Facility		$2,542.35	$4,988.50	$8,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,584.11 / $5,057.64 / $24,606.41	Professional		$2,584.11	$5,057.64	$24,606.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,345.04 / $4,944.63 / $6,550.21	Facility		$3,345.04	$4,944.63	$6,550.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,138.17 / $4,755.42 / $6,550.21	Professional		$3,138.17	$4,755.42	$6,550.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $3,973.20 / $5,482.60	Professional		$5.00	$3,973.20	$5,482.60
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 $2,403.42 / $4,305.28 / $6,803.38	Professional		$2,403.42	$4,305.28	$6,803.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,873.80 / $3,873.80 / $4,557.50	Professional		$3,873.80	$3,873.80	$4,557.50