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 $1,430.38 / $2,308.37 / $2,308.37	Professional		$1,430.38	$2,308.37	$2,308.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,435.05 / $3,882.82 / $4,449.56	Professional		$3,435.05	$3,882.82	$4,449.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,508.98 / $2,566.09 / $4,414.54	Professional		$1,508.98	$2,566.09	$4,414.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,280.28 / $3,776.33 / $6,608.00	Facility		$2,280.28	$3,776.33	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,012.95 / $3,731.13 / $11,708.72	Professional		$2,012.95	$3,731.13	$11,708.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,467.34 / $3,674.01 / $4,802.58	Facility		$2,467.34	$3,674.01	$4,802.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,633.00 / $3,550.93 / $4,802.58	Professional		$2,633.00	$3,550.93	$4,802.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $2,919.90 / $4,042.80	Professional		$10.00	$2,919.90	$4,042.80
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 $1,773.06 / $3,176.09 / $5,018.99	Professional		$1,773.06	$3,176.09	$5,018.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,006.70 / $3,006.70 / $3,537.30	Professional		$3,006.70	$3,006.70	$3,537.30