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 $1,954.86 / $2,933.57 / $4,702.14	Professional		$1,954.86	$2,933.57	$4,702.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,518.78 / $5,185.01 / $5,892.06	Professional		$4,518.78	$5,185.01	$5,892.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,025.21 / $3,368.14 / $5,483.35	Professional		$2,025.21	$3,368.14	$5,483.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,837.66 / $6,608.00	Facility		$2,950.00	$4,837.66	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,370.98 / $4,793.39 / $17,668.47	Professional		$2,370.98	$4,793.39	$17,668.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,063.42 / $4,620.97 / $6,027.32	Facility		$3,063.42	$4,620.97	$6,027.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,063.42 / $4,620.97 / $6,027.32	Professional		$3,063.42	$4,620.97	$6,027.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,852.90 / $5,440.10	Professional		$11.00	$3,852.90	$5,440.10
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 $2,312.76 / $4,116.80 / $6,971.73	Professional		$2,312.76	$4,116.80	$6,971.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,265.70 / $4,265.70 / $5,018.50	Professional		$4,265.70	$4,265.70	$5,018.50