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 $1,847.14 / $2,936.21 / $2,936.21	Professional		$1,847.14	$2,936.21	$2,936.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,519.56 / $5,191.35 / $5,899.27	Professional		$4,519.56	$5,191.35	$5,899.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,026.56 / $3,380.10 / $5,730.95	Professional		$2,026.56	$3,380.10	$5,730.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,870.05 / $4,839.84 / $6,608.00	Facility		$2,870.05	$4,839.84	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,428.46 / $4,839.84 / $16,516.93	Professional		$2,428.46	$4,839.84	$16,516.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,109.41 / $4,827.60 / $6,091.99	Facility		$3,109.41	$4,827.60	$6,091.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,109.41 / $4,827.60 / $6,744.00	Professional		$3,109.41	$4,827.60	$6,744.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $4,233.80 / $5,445.40	Professional		$11.00	$4,233.80	$5,445.40
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 $2,258.58 / $4,045.80 / $6,393.34	Professional		$2,258.58	$4,045.80	$6,393.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,267.60 / $4,267.60 / $5,020.80	Professional		$4,267.60	$4,267.60	$5,020.80