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 $1,830.52 / $3,014.87 / $3,014.87	Professional		$1,830.52	$3,014.87	$3,014.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,419.18 / $4,898.32 / $5,580.30	Professional		$4,419.18	$4,898.32	$5,580.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,853.74 / $2,964.72 / $6,137.72	Professional		$1,853.74	$2,964.72	$6,137.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,542.35 / $4,642.89 / $8,868.00	Facility		$2,542.35	$4,642.89	$8,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,383.30 / $4,695.91 / $25,823.26	Professional		$2,383.30	$4,695.91	$25,823.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,094.30 / $4,584.85 / $6,080.03	Facility		$3,094.30	$4,584.85	$6,080.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,932.17 / $4,419.18 / $6,080.03	Professional		$2,932.17	$4,419.18	$6,080.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $3,689.40 / $5,096.80	Professional		$5.00	$3,689.40	$5,096.80
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 $2,231.53 / $4,034.20 / $6,316.78	Professional		$2,231.53	$4,034.20	$6,316.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,599.90 / $3,599.90 / $4,235.20	Professional		$3,599.90	$3,599.90	$4,235.20