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 $1,506.39 / $2,396.19 / $3,706.18	Professional		$1,506.39	$2,396.19	$3,706.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,577.84 / $4,052.51 / $4,570.39	Professional		$3,577.84	$4,052.51	$4,570.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,520.95 / $2,685.01 / $4,471.10	Professional		$1,520.95	$2,685.01	$4,471.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $3,800.94 / $6,608.00	Facility		$2,845.00	$3,800.94	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,090.58 / $3,883.91 / $14,877.05	Professional		$2,090.58	$3,883.91	$14,877.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,575.82 / $3,601.41 / $5,007.68	Facility		$2,575.82	$3,601.41	$5,007.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,582.00 / $3,577.84 / $5,007.68	Professional		$2,582.00	$3,577.84	$5,007.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,084.50 / $4,056.40	Professional		$7.00	$3,084.50	$4,056.40
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 $1,925.90 / $3,815.60 / $5,242.60	Professional		$1,925.90	$3,815.60	$5,242.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,154.80 / $3,154.80 / $3,711.60	Professional		$3,154.80	$3,154.80	$3,711.60