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 $1,944.59 / $2,902.92 / $4,652.56	Professional		$1,944.59	$2,902.92	$4,652.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,471.25 / $5,131.10 / $5,830.81	Professional		$4,471.25	$5,131.10	$5,830.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,003.41 / $3,331.89 / $5,327.57	Professional		$2,003.41	$3,331.89	$5,327.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,786.00 / $6,608.00	Facility		$2,950.00	$4,786.00	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,373.03 / $4,743.33 / $16,867.68	Professional		$2,373.03	$4,743.33	$16,867.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,090.47 / $4,604.93 / $6,022.92	Facility		$3,090.47	$4,604.93	$6,022.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.47 / $4,604.93 / $6,022.92	Professional		$3,090.47	$4,604.93	$6,022.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,812.50 / $5,381.90	Professional		$11.00	$3,812.50	$5,381.90
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 $2,227.34 / $4,071.91 / $6,304.93	Professional		$2,227.34	$4,071.91	$6,304.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,220.10 / $4,220.10 / $4,964.89	Professional		$4,220.10	$4,220.10	$4,964.89