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 $1,804.39 / $2,867.64 / $2,867.64	Professional		$1,804.39	$2,867.64	$2,867.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,418.28 / $5,068.76 / $5,759.95	Professional		$4,418.28	$5,068.76	$5,759.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,978.59 / $3,290.21 / $5,338.92	Professional		$1,978.59	$3,290.21	$5,338.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,727.05 / $6,608.00	Facility		$2,950.00	$4,727.05	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,366.08 / $4,685.68 / $15,034.64	Professional		$2,366.08	$4,685.68	$15,034.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,041.37 / $4,550.22 / $5,951.39	Facility		$3,041.37	$4,550.22	$5,951.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,041.37 / $4,550.22 / $5,951.39	Professional		$3,041.37	$4,550.22	$5,951.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,782.30 / $5,319.30	Professional		$11.00	$3,782.30	$5,319.30
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 $2,203.92 / $4,032.88 / $6,238.62	Professional		$2,203.92	$4,032.88	$6,238.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,168.20 / $4,168.20 / $4,903.70	Professional		$4,168.20	$4,168.20	$4,903.70