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 $1,592.90 / $2,136.31 / $2,136.31	Professional		$1,592.90	$2,136.31	$2,136.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,825.38 / $4,343.50 / $4,933.67	Professional		$3,825.38	$4,343.50	$4,933.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,691.67 / $2,853.30 / $5,325.12	Professional		$1,691.67	$2,853.30	$5,325.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,370.33 / $3,870.29 / $6,608.00	Facility		$2,370.33	$3,870.29	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,045.46 / $4,087.65 / $13,112.00	Professional		$2,045.46	$4,087.65	$13,112.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,725.25 / $3,870.29 / $5,061.70	Facility		$2,725.25	$3,870.29	$5,061.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,725.25 / $3,870.29 / $5,061.70	Professional		$2,725.25	$3,870.29	$5,061.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $3,111.40 / $4,558.70	Professional		$8.00	$3,111.40	$4,558.70
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 $1,942.48 / $3,584.97 / $5,498.56	Professional		$1,942.48	$3,584.97	$5,498.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,471.20 / $3,471.20 / $4,083.80	Professional		$3,471.20	$3,471.20	$4,083.80