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 $1,410.16 / $2,237.91 / $2,237.91	Professional		$1,410.16	$2,237.91	$2,237.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,339.98 / $3,948.47 / $4,486.89	Professional		$3,339.98	$3,948.47	$4,486.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,462.32 / $2,554.55 / $3,969.88	Professional		$1,462.32	$2,554.55	$3,969.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,669.70 / $3,782.07 / $6,608.00	Facility		$2,669.70	$3,782.07	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,805.51 / $3,656.73 / $13,695.91	Professional		$1,805.51	$3,656.73	$13,695.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,369.06 / $3,518.08 / $4,601.43	Facility		$2,369.06	$3,518.08	$4,601.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,369.06 / $3,518.08 / $4,601.43	Professional		$2,369.06	$3,518.08	$4,601.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,934.00 / $4,155.80	Professional		$11.00	$2,934.00	$4,155.80
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 $1,708.21 / $3,120.89 / $4,835.42	Professional		$1,708.21	$3,120.89	$4,835.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,250.50 / $3,250.50 / $3,824.10	Professional		$3,250.50	$3,250.50	$3,824.10