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 $1,612.19 / $2,562.44 / $2,562.44	Professional		$1,612.19	$2,562.44	$2,562.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,937.53 / $4,529.76 / $5,147.45	Professional		$3,937.53	$4,529.76	$5,147.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,769.57 / $2,943.09 / $4,652.66	Professional		$1,769.57	$2,943.09	$4,652.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,330.52 / $6,608.00	Facility		$2,950.00	$4,330.52	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,092.83 / $4,142.63 / $13,439.44	Professional		$2,092.83	$4,142.63	$13,439.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,735.76 / $4,088.48 / $5,347.24	Facility		$2,735.76	$4,088.48	$5,347.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,735.76 / $4,088.48 / $5,347.24	Professional		$2,735.76	$4,088.48	$5,347.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,010.90 / $4,751.00	Professional		$11.00	$3,010.90	$4,751.00
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 $1,968.60 / $3,601.80 / $5,572.52	Professional		$1,968.60	$3,601.80	$5,572.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,727.30 / $3,727.30 / $4,385.00	Professional		$3,727.30	$3,727.30	$4,385.00