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 $1,395.67 / $1,843.00 / $1,843.00	Professional		$1,395.67	$1,843.00	$1,843.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,097.22 / $3,766.11 / $4,251.93	Professional		$3,097.22	$3,766.11	$4,251.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.03 / $2,343.48 / $3,678.95	Professional		$1,412.03	$2,343.48	$3,678.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.48 / $3,357.32 / $6,608.00	Facility		$1,905.48	$3,357.32	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,721.80 / $3,472.29 / $11,348.40	Professional		$1,721.80	$3,472.29	$11,348.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,263.59 / $3,357.32 / $4,476.38	Facility		$2,263.59	$3,357.32	$4,476.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,263.59 / $3,357.32 / $4,476.38	Professional		$2,263.59	$3,357.32	$4,476.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,502.90 / $3,864.80	Professional		$7.00	$2,502.90	$3,864.80
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 $1,681.99 / $3,164.22 / $4,670.80	Professional		$1,681.99	$3,164.22	$4,670.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,908.20 / $2,908.20 / $3,421.50	Professional		$2,908.20	$2,908.20	$3,421.50