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 $1,871.59 / $3,208.75 / $11,617.00	Professional		$1,871.59	$3,208.75	$11,617.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,429.96 / $5,101.55 / $5,732.33	Professional		$4,429.96	$5,101.55	$5,732.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,010.21 / $3,187.73 / $6,561.28	Professional		$2,010.21	$3,187.73	$6,561.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,048.48 / $4,941.47 / $7,305.00	Facility		$3,048.48	$4,941.47	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,459.58 / $4,856.42 / $9,022.71	Professional		$2,459.58	$4,856.42	$9,022.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,335.73 / $4,674.64 / $6,287.85	Facility		$3,335.73	$4,674.64	$6,287.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,335.73 / $4,674.64 / $6,287.85	Professional		$3,335.73	$4,674.64	$6,287.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,179.69 / $3,481.58 / $4,377.00	Professional		$2,179.69	$3,481.58	$4,377.00
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 $2,357.10 / $4,691.95 / $6,784.34	Professional		$2,357.10	$4,691.95	$6,784.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,385.70 / $4,285.70 / $5,042.10	Professional		$3,385.70	$4,285.70	$5,042.10