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 $1,389.43 / $2,239.44 / $2,239.44	Professional		$1,389.43	$2,239.44	$2,239.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,117.16 / $3,719.12 / $4,225.09	Professional		$3,117.16	$3,719.12	$4,225.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,461.38 / $2,308.54 / $3,695.46	Professional		$1,461.38	$2,308.54	$3,695.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,024.79 / $3,377.63 / $6,608.00	Facility		$2,024.79	$3,377.63	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,784.93 / $3,582.47 / $11,364.80	Professional		$1,784.93	$3,582.47	$11,364.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,246.58 / $3,377.63 / $4,604.30	Facility		$2,246.58	$3,377.63	$4,604.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,246.58 / $3,377.63 / $4,595.10	Professional		$2,246.58	$3,377.63	$4,595.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $2,501.10 / $3,961.20	Professional		$12.00	$2,501.10	$3,961.20
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 $1,702.41 / $3,159.36 / $4,819.02	Professional		$1,702.41	$3,159.36	$4,819.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,051.50 / $3,051.50 / $3,590.00	Professional		$3,051.50	$3,051.50	$3,590.00