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 $1,216.75 / $1,962.77 / $1,962.77	Professional		$1,216.75	$1,962.77	$1,962.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,923.96 / $3,333.76 / $3,740.48	Professional		$2,923.96	$3,333.76	$3,740.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,281.25 / $2,181.52 / $3,954.41	Professional		$1,281.25	$2,181.52	$3,954.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,066.42 / $3,301.46 / $6,608.00	Facility		$2,066.42	$3,301.46	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,674.05 / $3,163.04 / $9,955.84	Professional		$1,674.05	$3,163.04	$9,955.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,011.21 / $3,118.35 / $4,078.59	Facility		$2,011.21	$3,118.35	$4,078.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,259.00 / $3,026.21 / $4,078.59	Professional		$2,259.00	$3,026.21	$4,078.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $2,561.80 / $3,441.80	Professional		$18.00	$2,561.80	$3,441.80
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 $1,503.10 / $2,692.50 / $4,254.81	Professional		$1,503.10	$2,692.50	$4,254.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,555.60 / $2,555.60 / $3,006.60	Professional		$2,555.60	$2,555.60	$3,006.60