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 $2,001.54 / $3,182.46 / $3,182.46	Professional		$2,001.54	$3,182.46	$3,182.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,894.31 / $5,627.85 / $6,395.28	Professional		$4,894.31	$5,627.85	$6,395.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,197.84 / $3,651.91 / $5,998.16	Professional		$2,197.84	$3,651.91	$5,998.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,182.46 / $5,244.00 / $6,804.29	Facility		$3,182.46	$5,244.00	$6,804.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,629.49 / $5,200.10 / $16,675.43	Professional		$2,629.49	$5,200.10	$16,675.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,393.87 / $5,076.85 / $6,640.17	Facility		$3,393.87	$5,076.85	$6,640.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,393.87 / $5,076.85 / $6,640.17	Professional		$3,393.87	$5,076.85	$6,640.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $4,182.10 / $5,901.30	Professional		$11.00	$4,182.10	$5,901.30
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 $2,446.28 / $4,382.03 / $6,924.67	Professional		$2,446.28	$4,382.03	$6,924.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,626.39 / $4,626.39 / $5,442.80	Professional		$4,626.39	$4,626.39	$5,442.80