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 $1,500.76 / $2,387.38 / $2,387.38	Professional		$1,500.76	$2,387.38	$2,387.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,562.56 / $4,036.92 / $4,548.97	Professional		$3,562.56	$4,036.92	$4,548.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,514.91 / $2,584.98 / $4,399.06	Professional		$1,514.91	$2,584.98	$4,399.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,422.10 / $3,761.51 / $6,608.00	Facility		$2,422.10	$3,761.51	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,041.03 / $3,856.58 / $15,376.51	Professional		$2,041.03	$3,856.58	$15,376.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,576.51 / $3,709.70 / $4,990.99	Facility		$2,576.51	$3,709.70	$4,990.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,594.00 / $3,562.56 / $4,990.99	Professional		$2,594.00	$3,562.56	$4,990.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,820.50 / $4,041.70	Professional		$6.00	$2,820.50	$4,041.70
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 $1,832.67 / $3,282.88 / $5,187.74	Professional		$1,832.67	$3,282.88	$5,187.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,141.40 / $3,141.40 / $3,695.70	Professional		$3,141.40	$3,141.40	$3,695.70