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 $2,339.03 / $3,470.67 / $5,560.46	Professional		$2,339.03	$3,470.67	$5,560.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,330.60 / $6,140.43 / $6,977.76	Professional		$5,330.60	$6,140.43	$6,977.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,399.29 / $3,981.64 / $6,653.27	Professional		$2,399.29	$3,981.64	$6,653.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,470.67 / $5,751.13 / $7,305.00	Facility		$3,470.67	$5,751.13	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,901.72 / $5,671.03 / $18,185.04	Professional		$2,901.72	$5,671.03	$18,185.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,688.64 / $5,569.55 / $7,219.14	Facility		$3,688.64	$5,569.55	$7,219.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,688.64 / $5,569.55 / $7,219.14	Professional		$3,688.64	$5,569.55	$7,219.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $4,563.39 / $6,433.20	Professional		$11.00	$4,563.39	$6,433.20
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 $2,672.13 / $4,887.72 / $7,563.98	Professional		$2,672.13	$4,887.72	$7,563.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,047.39 / $5,047.39 / $5,938.10	Professional		$5,047.39	$5,047.39	$5,938.10