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 $2,639.97 / $4,266.09 / $4,266.09	Professional		$2,639.97	$4,266.09	$4,266.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,752.18 / $6,551.62 / $8,041.83	Professional		$5,752.18	$6,551.62	$8,041.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,447.55 / $4,312.64 / $7,542.96	Professional		$2,447.55	$4,312.64	$7,542.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,308.68 / $6,295.17 / $8,043.88	Facility		$3,308.68	$6,295.17	$8,043.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,150.70 / $6,793.15 / $21,600.72	Professional		$3,150.70	$6,793.15	$21,600.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,566.50 / $6,551.62 / $8,876.85	Facility		$4,566.50	$6,551.62	$8,876.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,569.22 / $6,379.86 / $8,041.83	Professional		$3,569.22	$6,379.86	$8,041.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $5,382.90 / $7,452.00	Professional		$18.00	$5,382.90	$7,452.00
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 $3,293.91 / $6,581.55 / $9,324.06	Professional		$3,293.91	$6,581.55	$9,324.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,547.50 / $5,547.50 / $6,526.40	Professional		$5,547.50	$5,547.50	$6,526.40