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 $1,647.27 / $2,620.59 / $2,620.59	Professional		$1,647.27	$2,620.59	$2,620.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,910.46 / $4,430.47 / $4,993.06	Professional		$3,910.46	$4,430.47	$4,993.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,663.33 / $2,838.17 / $4,885.80	Professional		$1,663.33	$2,838.17	$4,885.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,469.36 / $4,127.97 / $6,608.00	Facility		$2,469.36	$4,127.97	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,284.48 / $4,234.59 / $13,333.20	Professional		$2,284.48	$4,234.59	$13,333.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,820.97 / $3,983.58 / $5,474.88	Facility		$2,820.97	$3,983.58	$5,474.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,820.97 / $3,910.46 / $5,474.88	Professional		$2,820.97	$3,910.46	$5,474.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $3,087.50 / $4,432.00	Professional		$6.00	$3,087.50	$4,432.00
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 $2,012.30 / $3,713.84 / $5,696.22	Professional		$2,012.30	$3,713.84	$5,696.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,448.10 / $3,448.10 / $4,056.60	Professional		$3,448.10	$3,448.10	$4,056.60