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 $2,589.61 / $4,115.31 / $4,115.31	Professional		$2,589.61	$4,115.31	$4,115.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,563.14 / $6,884.77 / $7,823.14	Professional		$5,563.14	$6,884.77	$7,823.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,552.09 / $3,831.02 / $6,859.84	Professional		$2,552.09	$3,831.02	$6,859.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,039.99 / $6,095.30 / $7,856.00	Facility		$3,039.99	$6,095.30	$7,856.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,234.91 / $6,523.74 / $20,744.16	Professional		$3,234.91	$6,523.74	$20,744.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,398.00 / $6,095.30 / $8,565.57	Facility		$4,398.00	$6,095.30	$8,565.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,025.00 / $6,095.30 / $7,536.22	Professional		$4,025.00	$6,095.30	$7,536.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $5,168.39 / $7,158.10	Professional		$10.00	$5,168.39	$7,158.10
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 $3,100.12 / $6,174.98 / $8,775.51	Professional		$3,100.12	$6,174.98	$8,775.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,161.10 / $5,161.10 / $6,071.90	Professional		$5,161.10	$5,161.10	$6,071.90