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 $1,302.70 / $2,068.13 / $2,068.13	Professional		$1,302.70	$2,068.13	$2,068.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,147.03 / $3,650.43 / $4,148.22	Professional		$3,147.03	$3,650.43	$4,148.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,424.70 / $2,365.67 / $3,749.11	Professional		$1,424.70	$2,365.67	$3,749.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,481.76 / $3,495.14 / $6,608.00	Facility		$2,481.76	$3,495.14	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,681.41 / $3,379.30 / $13,781.76	Professional		$1,681.41	$3,379.30	$13,781.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,181.69 / $3,266.77 / $4,272.70	Facility		$2,181.69	$3,266.77	$4,272.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,181.69 / $3,266.77 / $4,272.70	Professional		$2,181.69	$3,266.77	$4,272.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,719.90 / $3,837.80	Professional		$11.00	$2,719.90	$3,837.80
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 $1,582.63 / $2,873.81 / $4,479.93	Professional		$1,582.63	$2,873.81	$4,479.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,006.60 / $3,006.60 / $3,537.20	Professional		$3,006.60	$3,006.60	$3,537.20