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 $1,254.18 / $2,017.89 / $2,017.89	Professional		$1,254.18	$2,017.89	$2,017.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,876.90 / $3,334.43 / $3,911.08	Professional		$2,876.90	$3,334.43	$3,911.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,339.70 / $2,093.09 / $3,512.74	Professional		$1,339.70	$2,093.09	$3,512.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,762.55 / $3,168.46 / $6,608.00	Facility		$1,762.55	$3,168.46	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,654.32 / $3,214.46 / $9,699.04	Professional		$1,654.32	$3,214.46	$9,699.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,103.51 / $3,068.52 / $4,146.84	Facility		$2,103.51	$3,068.52	$4,146.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,133.00 / $3,068.52 / $4,146.84	Professional		$2,133.00	$3,068.52	$4,146.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,473.69 / $3,504.90	Professional		$6.00	$2,473.69	$3,504.90
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 $1,527.53 / $2,736.28 / $4,323.97	Professional		$1,527.53	$2,736.28	$4,323.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,690.50 / $2,690.50 / $3,165.30	Professional		$2,690.50	$2,690.50	$3,165.30