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 $1,861.74 / $2,958.90 / $2,958.90	Professional		$1,861.74	$2,958.90	$2,958.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,041.32 / $4,954.57 / $5,629.97	Professional		$4,041.32	$4,954.57	$5,629.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,838.40 / $2,759.84 / $5,097.99	Professional		$1,838.40	$2,759.84	$5,097.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,883.56 / $4,620.35 / $6,608.00	Facility		$2,883.56	$4,620.35	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,371.58 / $4,658.89 / $14,927.92	Professional		$2,371.58	$4,658.89	$14,927.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,127.20 / $4,388.60 / $6,102.95	Facility		$3,127.20	$4,388.60	$6,102.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,963.52 / $4,388.60 / $5,528.98	Professional		$2,963.52	$4,388.60	$5,528.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,744.60 / $5,135.39	Professional		$7.00	$3,744.60	$5,135.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,213.92 / $4,085.96 / $6,266.97	Professional		$2,213.92	$4,085.96	$6,266.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,716.00 / $3,716.00 / $4,371.80	Professional		$3,716.00	$3,716.00	$4,371.80