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 $1,882.05 / $2,814.58 / $4,511.60	Professional		$1,882.05	$2,814.58	$4,511.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,338.03 / $4,974.68 / $5,653.06	Professional		$4,338.03	$4,974.68	$5,653.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,941.40 / $3,227.79 / $5,227.50	Professional		$1,941.40	$3,227.79	$5,227.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,663.00 / $6,608.00	Facility		$2,950.00	$4,663.00	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,317.77 / $4,599.00 / $14,757.04	Professional		$2,317.77	$4,599.00	$14,757.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,988.64 / $4,466.05 / $5,841.30	Facility		$2,988.64	$4,466.05	$5,841.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,988.64 / $4,466.05 / $5,841.30	Professional		$2,988.64	$4,466.05	$5,841.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,696.80 / $5,220.30	Professional		$11.00	$3,696.80	$5,220.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,158.65 / $3,945.69 / $6,110.49	Professional		$2,158.65	$3,945.69	$6,110.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,090.50 / $4,090.50 / $4,812.39	Professional		$4,090.50	$4,090.50	$4,812.39