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 $1,559.50 / $2,516.19 / $2,516.19	Professional		$1,559.50	$2,516.19	$2,516.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,530.89 / $4,231.43 / $4,908.04	Professional		$3,530.89	$4,231.43	$4,908.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,643.64 / $2,989.13 / $5,288.56	Professional		$1,643.64	$2,989.13	$5,288.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,608.94 / $4,004.18 / $6,608.00	Facility		$2,608.94	$4,004.18	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,149.77 / $4,064.41 / $15,161.85	Professional		$2,149.77	$4,064.41	$15,161.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,690.37 / $3,869.69 / $5,236.49	Facility		$2,690.37	$3,869.69	$5,236.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,690.37 / $3,869.69 / $5,495.74	Professional		$2,690.37	$3,869.69	$5,495.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,208.50 / $4,409.00	Professional		$15.00	$3,208.50	$4,409.00
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 $1,972.80 / $3,459.79 / $5,467.31	Professional		$1,972.80	$3,459.79	$5,467.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,276.60 / $3,276.60 / $3,854.80	Professional		$3,276.60	$3,276.60	$3,854.80