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 $1,253.73 / $2,022.52 / $2,022.52	Professional		$1,253.73	$2,022.52	$2,022.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,013.56 / $3,510.53 / $3,904.21	Professional		$3,013.56	$3,510.53	$3,904.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,321.40 / $2,248.83 / $4,163.84	Professional		$1,321.40	$2,248.83	$4,163.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,128.33 / $3,402.08 / $6,608.00	Facility		$2,128.33	$3,402.08	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,796.26 / $3,261.94 / $10,259.12	Professional		$1,796.26	$3,261.94	$10,259.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,289.27 / $3,214.96 / $4,204.96	Facility		$2,289.27	$3,214.96	$4,204.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,380.84 / $3,112.07 / $4,204.96	Professional		$2,380.84	$3,112.07	$4,204.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $2,551.69 / $3,547.00	Professional		$17.00	$2,551.69	$3,547.00
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 $1,598.40 / $2,776.69 / $4,387.85	Professional		$1,598.40	$2,776.69	$4,387.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,635.10 / $2,635.10 / $3,100.10	Professional		$2,635.10	$2,635.10	$3,100.10