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 $1,962.65 / $2,426.27 / $5,691.00	Professional		$1,962.65	$2,426.27	$5,691.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,494.36 / $4,283.51 / $4,867.62	Professional		$3,494.36	$4,283.51	$4,867.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,671.89 / $2,663.66 / $4,060.67	Professional		$1,671.89	$2,663.66	$4,060.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,571.84 / $4,210.95 / $9,875.52	Facility		$2,571.84	$4,210.95	$9,875.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,939.87 / $3,912.08 / $12,731.92	Professional		$1,939.87	$3,912.08	$12,731.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,091.67 / $2,852.00 / $4,867.62	Facility		$2,091.67	$2,852.00	$4,867.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,584.00 / $3,790.97 / $5,031.60	Professional		$2,584.00	$3,790.97	$5,031.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,297.00 / $4,503.80	Professional		$11.00	$3,297.00	$4,503.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,859.04 / $3,400.47 / $5,262.39	Professional		$1,859.04	$3,400.47	$5,262.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,527.10 / $3,527.10 / $4,149.50	Professional		$3,527.10	$3,527.10	$4,149.50