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 $1,710.23 / $2,719.18 / $2,719.18	Professional		$1,710.23	$2,719.18	$2,719.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,120.52 / $4,808.77 / $5,464.51	Professional		$4,120.52	$4,808.77	$5,464.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,879.07 / $3,109.19 / $4,894.26	Professional		$1,879.07	$3,109.19	$4,894.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,545.14 / $6,608.00	Facility		$2,950.00	$4,545.14	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,185.30 / $4,407.01 / $14,256.32	Professional		$2,185.30	$4,407.01	$14,256.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,838.34 / $4,352.22 / $5,673.02	Facility		$2,838.34	$4,352.22	$5,673.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,838.34 / $4,352.22 / $5,673.02	Professional		$2,838.34	$4,352.22	$5,673.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,754.70 / $5,039.89	Professional		$11.00	$3,754.70	$5,039.89
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 $2,003.19 / $3,751.42 / $5,928.16	Professional		$2,003.19	$3,751.42	$5,928.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,955.70 / $3,955.70 / $4,653.80	Professional		$3,955.70	$3,955.70	$4,653.80