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 $1,809.74 / $2,906.66 / $2,906.66	Professional		$1,809.74	$2,906.66	$2,906.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,857.70 / $4,525.80 / $5,578.36	Professional		$3,857.70	$4,525.80	$5,578.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,508.54 / $2,886.49 / $4,522.82	Professional		$1,508.54	$2,886.49	$4,522.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,620.19 / $4,476.26 / $6,608.00	Facility		$2,620.19	$4,476.26	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,114.76 / $4,525.80 / $20,776.70	Professional		$2,114.76	$4,525.80	$20,776.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,875.47 / $4,482.68 / $5,863.07	Facility		$2,875.47	$4,482.68	$5,863.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,350.06 / $4,482.68 / $5,474.12	Professional		$2,350.06	$4,482.68	$5,474.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $3,583.70 / $5,171.10	Professional		$10.00	$3,583.70	$5,171.10
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 $2,170.48 / $4,005.78 / $6,143.99	Professional		$2,170.48	$4,005.78	$6,143.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,982.10 / $3,982.10 / $4,684.80	Professional		$3,982.10	$3,982.10	$4,684.80