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 $2,570.16 / $4,130.68 / $4,130.68	Professional		$2,570.16	$4,130.68	$4,130.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,291.23 / $6,291.23 / $7,864.04	Professional		$6,291.23	$6,291.23	$7,864.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,688.43 / $4,217.08 / $6,707.47	Professional		$2,688.43	$4,217.08	$6,707.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,675.92 / $6,292.72 / $7,856.00	Facility		$3,675.92	$6,292.72	$7,856.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,245.04 / $6,544.16 / $30,904.28	Professional		$3,245.04	$6,544.16	$30,904.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,272.47 / $6,392.97 / $8,419.49	Facility		$4,272.47	$6,392.97	$8,419.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,931.95 / $6,392.97 / $7,759.60	Professional		$3,931.95	$6,392.97	$7,759.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $5,054.80 / $7,297.20	Professional		$10.00	$5,054.80	$7,297.20
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 $3,050.95 / $5,971.13 / $8,802.98	Professional		$3,050.95	$5,971.13	$8,802.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,637.10 / $5,637.10 / $6,631.90	Professional		$5,637.10	$5,637.10	$6,631.90