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 $1,601.40 / $2,007.67 / $3,828.04	Professional		$1,601.40	$2,007.67	$3,828.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,250.58 / $4,070.49 / $4,547.02	Professional		$3,250.58	$4,070.49	$4,547.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,532.70 / $2,324.62 / $6,528.66	Professional		$1,532.70	$2,324.62	$6,528.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,058.17 / $3,691.74 / $6,608.00	Facility		$2,058.17	$3,691.74	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,993.82 / $4,020.88 / $14,703.08	Professional		$1,993.82	$4,020.88	$14,703.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,624.71 / $3,619.33 / $5,069.60	Facility		$2,624.71	$3,619.33	$5,069.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,624.71 / $3,619.33 / $5,143.27	Professional		$2,624.71	$3,619.33	$5,143.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $2,993.20 / $4,174.00	Professional		$8.00	$2,993.20	$4,174.00
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 $1,910.75 / $3,422.73 / $5,408.75	Professional		$1,910.75	$3,422.73	$5,408.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,135.20 / $3,135.20 / $3,688.50	Professional		$3,135.20	$3,135.20	$3,688.50