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 $1,340.33 / $2,131.92 / $2,131.92	Professional		$1,340.33	$2,131.92	$2,131.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,181.21 / $3,604.96 / $4,068.85	Professional		$3,181.21	$3,604.96	$4,068.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.92 / $2,305.08 / $3,984.87	Professional		$1,350.92	$2,305.08	$3,984.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,096.82 / $3,396.00 / $6,608.00	Facility		$2,096.82	$3,396.00	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,863.23 / $3,438.82 / $10,849.84	Professional		$1,863.23	$3,438.82	$10,849.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,282.42 / $3,206.78 / $4,461.22	Facility		$2,282.42	$3,206.78	$4,461.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,316.00 / $3,181.21 / $4,461.22	Professional		$2,316.00	$3,181.21	$4,461.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,518.10 / $3,618.10	Professional		$7.00	$2,518.10	$3,618.10
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 $1,634.15 / $3,275.24 / $4,625.78	Professional		$1,634.15	$3,275.24	$4,625.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,805.10 / $2,805.10 / $3,300.10	Professional		$2,805.10	$2,805.10	$3,300.10