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 $1,774.10 / $2,863.42 / $2,863.42	Professional		$1,774.10	$2,863.42	$2,863.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,020.93 / $4,815.93 / $5,531.68	Professional		$4,020.93	$4,815.93	$5,531.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,871.75 / $3,405.21 / $6,008.16	Professional		$1,871.75	$3,405.21	$6,008.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,564.35 / $6,608.00	Facility		$2,950.00	$4,564.35	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,449.61 / $4,631.30 / $17,586.62	Professional		$2,449.61	$4,631.30	$17,586.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,084.12 / $4,402.43 / $5,959.72	Facility		$3,084.12	$4,402.43	$5,959.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,084.12 / $4,402.43 / $6,259.08	Professional		$3,084.12	$4,402.43	$6,259.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,954.50 / $5,014.80	Professional		$15.00	$3,954.50	$5,014.80
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 $2,266.80 / $3,942.35 / $6,229.86	Professional		$2,266.80	$3,942.35	$6,229.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,727.70 / $3,727.70 / $4,385.50	Professional		$3,727.70	$3,727.70	$4,385.50