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 $1,350.68 / $2,169.30 / $2,169.30	Professional		$1,350.68	$2,169.30	$2,169.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,338.44 / $3,338.44 / $4,173.05	Professional		$3,338.44	$3,338.44	$4,173.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,411.89 / $2,219.83 / $4,109.64	Professional		$1,411.89	$2,219.83	$4,109.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,846.97 / $3,362.81 / $6,608.00	Facility		$1,846.97	$3,362.81	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,693.66 / $3,415.54 / $12,672.22	Professional		$1,693.66	$3,415.54	$12,672.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,236.17 / $3,362.44 / $4,397.83	Facility		$2,236.17	$3,362.44	$4,397.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,161.00 / $3,362.44 / $4,397.83	Professional		$2,161.00	$3,362.44	$4,397.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,563.10 / $3,856.00	Professional		$7.00	$2,563.10	$3,856.00
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 $1,641.79 / $3,415.54 / $4,594.47	Professional		$1,641.79	$3,415.54	$4,594.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,977.10 / $2,977.10 / $3,502.40	Professional		$2,977.10	$2,977.10	$3,502.40