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 $1,704.95 / $2,708.86 / $2,708.86	Professional		$1,704.95	$2,708.86	$2,708.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,150.41 / $4,786.57 / $5,439.28	Professional		$4,150.41	$4,786.57	$5,439.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,868.32 / $3,118.96 / $4,905.77	Professional		$1,868.32	$3,118.96	$4,905.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,577.97 / $6,608.00	Facility		$2,950.00	$4,577.97	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,204.76 / $4,426.25 / $14,205.92	Professional		$2,204.76	$4,426.25	$14,205.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,891.47 / $4,307.50 / $5,633.93	Facility		$2,891.47	$4,307.50	$5,633.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,891.47 / $4,307.50 / $5,633.93	Professional		$2,891.47	$4,307.50	$5,633.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,572.40 / $5,027.10	Professional		$11.00	$3,572.40	$5,027.10
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 $2,135.21 / $3,805.60 / $5,887.54	Professional		$2,135.21	$3,805.60	$5,887.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,937.80 / $3,937.80 / $4,632.70	Professional		$3,937.80	$3,937.80	$4,632.70