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 $2,719.12 / $4,319.85 / $4,319.85	Professional		$2,719.12	$4,319.85	$4,319.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,862.17 / $7,220.80 / $8,207.82	Professional		$5,862.17	$7,220.80	$8,207.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,671.79 / $4,012.31 / $7,324.35	Professional		$2,671.79	$4,012.31	$7,324.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,500.33 / $6,464.12 / $7,912.13	Facility		$3,500.33	$6,464.12	$7,912.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,422.29 / $6,872.80 / $21,757.92	Professional		$3,422.29	$6,872.80	$21,757.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,663.46 / $6,388.61 / $9,042.65	Facility		$4,663.46	$6,388.61	$9,042.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,445.00 / $6,388.61 / $7,940.68	Professional		$4,445.00	$6,388.61	$7,940.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $5,443.20 / $7,534.40	Professional		$10.00	$5,443.20	$7,534.40
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 $3,266.00 / $5,850.40 / $9,245.04	Professional		$3,266.00	$5,850.40	$9,245.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,409.40 / $5,409.40 / $6,364.10	Professional		$5,409.40	$5,409.40	$6,364.10