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 $2,372.76 / $4,050.36 / $14,976.90	Professional		$2,372.76	$4,050.36	$14,976.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,660.16 / $6,435.77 / $7,155.20	Professional		$5,660.16	$6,435.77	$7,155.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,503.42 / $3,606.20 / $5,366.77	Professional		$2,503.42	$3,606.20	$5,366.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,472.00 / $6,137.02 / $7,675.34	Facility		$3,472.00	$6,137.02	$7,675.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,862.78 / $6,021.14 / $9,278.17	Professional		$2,862.78	$6,021.14	$9,278.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,472.00 / $5,868.95 / $7,914.06	Facility		$3,472.00	$5,868.95	$7,914.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,458.00 / $5,868.95 / $7,260.18	Professional		$3,458.00	$5,868.95	$7,260.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,706.21 / $4,390.00 / $5,409.10	Professional		$2,706.21	$4,390.00	$5,409.10
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 $2,825.99 / $6,213.06 / $8,363.12	Professional		$2,825.99	$6,213.06	$8,363.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,250.75 / $5,380.70 / $6,330.20	Professional		$4,250.75	$5,380.70	$6,330.20