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 $1,610.92 / $2,889.21 / $2,889.21	Professional		$1,610.92	$2,889.21	$2,889.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,824.57 / $4,332.37 / $4,883.97	Professional		$3,824.57	$4,332.37	$4,883.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,626.46 / $2,870.57 / $4,804.46	Professional		$1,626.46	$2,870.57	$4,804.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,428.84 / $4,055.13 / $6,608.00	Facility		$2,428.84	$4,055.13	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,246.44 / $4,134.35 / $13,038.08	Professional		$2,246.44	$4,134.35	$13,038.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,760.32 / $3,871.55 / $5,354.94	Facility		$2,760.32	$3,871.55	$5,354.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,760.32 / $3,824.57 / $5,354.94	Professional		$2,760.32	$3,824.57	$5,354.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,033.40 / $4,335.89	Professional		$7.00	$3,033.40	$4,335.89
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 $2,053.78 / $3,632.45 / $5,571.38	Professional		$2,053.78	$3,632.45	$5,571.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,313.00 / $3,313.00 / $3,897.60	Professional		$3,313.00	$3,313.00	$3,897.60