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 $1,267.89 / $2,016.26 / $2,016.26	Professional		$1,267.89	$2,016.26	$2,016.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,983.93 / $3,412.35 / $3,854.60	Professional		$2,983.93	$3,412.35	$3,854.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,278.76 / $2,260.40 / $3,741.43	Professional		$1,278.76	$2,260.40	$3,741.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,381.00 / $3,247.59 / $6,608.00	Facility		$2,381.00	$3,247.59	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,749.40 / $3,251.71 / $12,420.21	Professional		$1,749.40	$3,251.71	$12,420.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,157.37 / $3,012.35 / $4,214.10	Facility		$2,157.37	$3,012.35	$4,214.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,157.37 / $3,012.35 / $4,214.10	Professional		$2,157.37	$3,012.35	$4,214.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,417.10 / $3,419.50	Professional		$7.00	$2,417.10	$3,419.50
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 $1,586.80 / $3,097.17 / $4,374.08	Professional		$1,586.80	$3,097.17	$4,374.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,656.20 / $2,656.20 / $3,124.90	Professional		$2,656.20	$2,656.20	$3,124.90