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 $1,942.31 / $3,081.74 / $3,081.74	Professional		$1,942.31	$3,081.74	$3,081.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,152.80 / $5,150.72 / $5,904.60	Professional		$4,152.80	$5,150.72	$5,904.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,899.13 / $2,853.80 / $5,128.99	Professional		$1,899.13	$2,853.80	$5,128.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,233.34 / $4,710.93 / $6,608.00	Facility		$2,233.34	$4,710.93	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,405.60 / $4,851.30 / $15,524.88	Professional		$2,405.60	$4,851.30	$15,524.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,281.65 / $4,568.38 / $6,378.49	Facility		$3,281.65	$4,568.38	$6,378.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,030.00 / $4,568.38 / $5,650.67	Professional		$3,030.00	$4,568.38	$5,650.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $3,890.80 / $5,421.60	Professional		$6.00	$3,890.80	$5,421.60
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 $2,305.37 / $4,129.62 / $6,525.80	Professional		$2,305.37	$4,129.62	$6,525.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,868.20 / $3,868.20 / $4,550.80	Professional		$3,868.20	$3,868.20	$4,550.80