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 $2,015.20 / $3,198.83 / $3,198.83	Professional		$2,015.20	$3,198.83	$3,198.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,293.20 / $5,348.10 / $6,122.75	Professional		$4,293.20	$5,348.10	$6,122.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,976.05 / $2,967.85 / $5,340.00	Professional		$1,976.05	$2,967.85	$5,340.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,332.88 / $4,893.93 / $6,608.00	Facility		$2,332.88	$4,893.93	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,495.60 / $5,032.80 / $16,118.24	Professional		$2,495.60	$5,032.80	$16,118.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,395.08 / $4,744.51 / $6,611.19	Facility		$3,395.08	$4,744.51	$6,611.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,159.00 / $4,744.51 / $5,863.23	Professional		$3,159.00	$4,744.51	$5,863.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $4,020.60 / $5,607.00	Professional		$6.00	$4,020.60	$5,607.00
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 $2,391.62 / $4,284.12 / $6,769.95	Professional		$2,391.62	$4,284.12	$6,769.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,017.30 / $4,017.30 / $4,726.30	Professional		$4,017.30	$4,017.30	$4,726.30