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 $1,471.46 / $2,638.84 / $2,638.84	Professional		$1,471.46	$2,638.84	$2,638.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,494.16 / $3,958.69 / $4,464.24	Professional		$3,494.16	$3,958.69	$4,464.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,485.07 / $2,534.09 / $4,348.07	Professional		$1,485.07	$2,534.09	$4,348.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,205.98 / $3,697.77 / $6,608.00	Facility		$2,205.98	$3,697.77	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,033.05 / $3,776.53 / $11,913.92	Professional		$2,033.05	$3,776.53	$11,913.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,537.76 / $3,524.23 / $4,890.88	Facility		$2,537.76	$3,524.23	$4,890.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,537.76 / $3,494.16 / $4,890.88	Professional		$2,537.76	$3,494.16	$4,890.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,760.70 / $3,962.90	Professional		$7.00	$2,760.70	$3,962.90
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 $1,874.36 / $3,599.84 / $5,084.68	Professional		$1,874.36	$3,599.84	$5,084.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,026.80 / $3,026.80 / $3,560.90	Professional		$3,026.80	$3,026.80	$3,560.90