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 $1,542.09 / $2,488.75 / $2,488.75	Professional		$1,542.09	$2,488.75	$2,488.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,700.73 / $4,227.58 / $4,967.85	Professional		$3,700.73	$4,227.58	$4,967.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,626.89 / $2,765.54 / $5,012.91	Professional		$1,626.89	$2,765.54	$5,012.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,563.91 / $4,185.00 / $6,608.00	Facility		$2,563.91	$4,185.00	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,178.88 / $4,021.48 / $12,619.68	Professional		$2,178.88	$4,021.48	$12,619.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,647.65 / $3,962.88 / $5,180.35	Facility		$2,647.65	$3,962.88	$5,180.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,878.00 / $3,827.48 / $5,180.35	Professional		$2,878.00	$3,827.48	$5,180.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $3,139.70 / $4,359.60	Professional		$18.00	$3,139.70	$4,359.60
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 $1,911.04 / $3,526.94 / $5,409.56	Professional		$1,911.04	$3,526.94	$5,409.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,240.90 / $3,240.90 / $3,812.80	Professional		$3,240.90	$3,240.90	$3,812.80