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 $3,565.79 / $6,422.73 / $6,422.73	Professional		$3,565.79	$6,422.73	$6,422.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,910.85 / $7,439.39 / $8,552.83	Professional		$4,910.85	$7,439.39	$8,552.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $5,535.07 / $6,909.29	Professional		$150.00	$5,535.07	$6,909.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,898.00 / $7,305.00 / $13,175.82	Facility		$4,898.00	$7,305.00	$13,175.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,419.60 / $8,552.83 / $15,059.79	Professional		$4,419.60	$8,552.83	$15,059.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,041.51 / $8,552.83 / $11,565.49	Facility		$6,041.51	$8,552.83	$11,565.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,672.04 / $7,439.39 / $11,565.49	Professional		$4,672.04	$7,439.39	$11,565.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
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 $4,281.80 / $7,586.98 / $11,989.27	Professional		$4,281.80	$7,586.98	$11,989.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,936.45 / $4,936.45 / $4,936.45	Professional		$4,936.45	$4,936.45	$4,936.45