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 $3,764.49 / $6,780.61 / $6,780.61	Professional		$3,764.49	$6,780.61	$6,780.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.90 / $7,853.70 / $10,122.67	Professional		$634.90	$7,853.70	$10,122.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $5,843.17 / $7,293.88	Professional		$150.00	$5,843.17	$7,293.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,663.00 / $6,780.61 / $10,122.67	Facility		$4,663.00	$6,780.61	$10,122.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,665.60 / $9,029.15 / $15,898.09	Professional		$4,665.60	$9,029.15	$15,898.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,377.58 / $9,029.15 / $12,209.67	Facility		$6,377.58	$9,029.15	$12,209.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,652.25 / $7,853.70 / $12,209.67	Professional		$4,652.25	$7,853.70	$12,209.67
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 $4,665.60 / $8,709.12 / $12,656.61	Professional		$4,665.60	$8,709.12	$12,656.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,448.97 / $3,448.97 / $3,448.97	Professional		$3,448.97	$3,448.97	$3,448.97