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 $1,799.11 / $2,854.10 / $2,854.10	Professional		$1,799.11	$2,854.10	$2,854.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,847.00 / $4,770.41 / $5,477.07	Professional		$3,847.00	$4,770.41	$5,477.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,757.98 / $2,641.68 / $4,737.46	Professional		$1,757.98	$2,641.68	$4,737.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,067.41 / $4,363.63 / $6,608.00	Facility		$2,067.41	$4,363.63	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,223.92 / $4,484.91 / $14,379.20	Professional		$2,223.92	$4,484.91	$14,379.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,025.14 / $4,232.85 / $5,892.55	Facility		$3,025.14	$4,232.85	$5,892.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,810.00 / $4,232.85 / $5,419.95	Professional		$2,810.00	$4,232.85	$5,419.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $3,602.30 / $5,026.10	Professional		$6.00	$3,602.30	$5,026.10
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 $2,131.26 / $3,817.74 / $6,032.95	Professional		$2,131.26	$3,817.74	$6,032.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,584.10 / $3,584.10 / $4,216.60	Professional		$3,584.10	$3,584.10	$4,216.60