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 $2,242.51 / $3,002.74 / $10,854.00	Professional		$2,242.51	$3,002.74	$10,854.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,052.21 / $5,017.51 / $5,755.60	Professional		$4,052.21	$5,017.51	$5,755.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,849.02 / $2,778.50 / $5,037.63	Professional		$1,849.02	$2,778.50	$5,037.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,227.39 / $4,597.96 / $6,608.00	Facility		$2,227.39	$4,597.96	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,355.46 / $4,725.10 / $15,123.84	Professional		$2,355.46	$4,725.10	$15,123.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,190.02 / $4,450.47 / $6,214.35	Facility		$3,190.02	$4,450.47	$6,214.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,013.00 / $4,450.47 / $5,825.30	Professional		$3,013.00	$4,450.47	$5,825.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $3,792.60 / $5,286.60	Professional		$6.00	$3,792.60	$5,286.60
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 $2,245.40 / $4,552.27 / $6,356.04	Professional		$2,245.40	$4,552.27	$6,356.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,768.40 / $3,768.40 / $4,433.39	Professional		$3,768.40	$3,768.40	$4,433.39