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 $2,843.72 / $2,843.72 / $7,679.76	Professional		$2,843.72	$2,843.72	$7,679.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,381.66 / $5,025.42 / $5,710.71	Professional		$4,381.66	$5,025.42	$5,710.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,961.68 / $3,261.68 / $5,244.00	Professional		$1,961.68	$3,261.68	$5,244.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,687.00 / $6,608.00	Facility		$2,950.00	$4,687.00	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,294.73 / $4,646.60 / $14,910.00	Professional		$2,294.73	$4,646.60	$14,910.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,972.81 / $4,518.64 / $5,910.09	Facility		$2,972.81	$4,518.64	$5,910.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,972.81 / $4,518.64 / $5,910.09	Professional		$2,972.81	$4,518.64	$5,910.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,734.80 / $5,275.20	Professional		$11.00	$3,734.80	$5,275.20
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 $2,241.81 / $3,908.36 / $6,176.15	Professional		$2,241.81	$3,908.36	$6,176.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,132.89 / $4,132.89 / $4,862.20	Professional		$4,132.89	$4,132.89	$4,862.20