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 $2,593.63 / $4,128.43 / $4,128.43	Professional		$2,593.63	$4,128.43	$4,128.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,323.18 / $7,311.44 / $8,308.45	Professional		$6,323.18	$7,311.44	$8,308.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,856.61 / $4,732.06 / $7,022.25	Professional		$2,856.61	$4,732.06	$7,022.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,128.43 / $6,615.57 / $8,528.93	Facility		$4,128.43	$6,615.57	$8,528.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,331.72 / $6,745.83 / $21,620.88	Professional		$3,331.72	$6,745.83	$21,620.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,389.88 / $6,615.57 / $8,610.87	Facility		$4,389.88	$6,615.57	$8,610.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,415.00 / $6,615.57 / $8,610.87	Professional		$4,415.00	$6,615.57	$8,610.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $5,433.00 / $7,648.40	Professional		$11.00	$5,433.00	$7,648.40
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 $3,188.13 / $5,835.66 / $9,024.64	Professional		$3,188.13	$5,835.66	$9,024.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,002.90 / $6,002.90 / $7,062.30	Professional		$6,002.90	$6,002.90	$7,062.30