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 $1,857.33 / $2,952.04 / $2,952.04	Professional		$1,857.33	$2,952.04	$2,952.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,546.83 / $5,217.78 / $5,929.30	Professional		$4,546.83	$5,217.78	$5,929.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,037.83 / $3,389.25 / $5,516.36	Professional		$2,037.83	$3,389.25	$5,516.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,952.04 / $4,867.49 / $6,720.87	Facility		$2,952.04	$4,867.49	$6,720.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,426.48 / $4,823.60 / $15,478.16	Professional		$2,426.48	$4,823.60	$15,478.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,144.91 / $4,661.97 / $6,097.54	Facility		$3,144.91	$4,661.97	$6,097.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,144.91 / $4,661.97 / $6,097.54	Professional		$3,144.91	$4,661.97	$6,097.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,879.00 / $5,476.60	Professional		$11.00	$3,879.00	$5,476.60
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 $2,266.83 / $4,336.55 / $6,983.79	Professional		$2,266.83	$4,336.55	$6,983.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,292.00 / $4,292.00 / $5,049.39	Professional		$4,292.00	$4,292.00	$5,049.39