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 $1,460.05 / $1,460.05 / $2,245.37	Professional		$1,460.05	$1,460.05	$2,245.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,164.77 / $3,848.22 / $4,325.97	Professional		$3,164.77	$3,848.22	$4,325.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,507.62 / $2,387.26 / $4,553.18	Professional		$1,507.62	$2,387.26	$4,553.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,024.67 / $3,691.79 / $6,608.00	Facility		$2,024.67	$3,691.79	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,942.58 / $3,754.92 / $11,601.44	Professional		$1,942.58	$3,754.92	$11,601.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,838.60 / $3,518.17 / $4,764.97	Facility		$2,838.60	$3,518.17	$4,764.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,592.94 / $3,518.17 / $4,488.60	Professional		$2,592.94	$3,518.17	$4,488.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $3,243.40 / $4,005.30	Professional		$10.00	$3,243.40	$4,005.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,784.36 / $3,196.34 / $5,050.99	Professional		$1,784.36	$3,196.34	$5,050.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,047.60 / $3,047.60 / $3,585.40	Professional		$3,047.60	$3,047.60	$3,585.40