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 $2,697.68 / $4,290.31 / $4,290.31	Professional		$2,697.68	$4,290.31	$4,290.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,593.52 / $7,589.39 / $8,624.31	Professional		$6,593.52	$7,589.39	$8,624.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,964.61 / $4,922.80 / $7,668.26	Professional		$2,964.61	$4,922.80	$7,668.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,290.31 / $6,820.61 / $9,177.29	Facility		$4,290.31	$6,820.61	$9,177.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,547.84 / $7,010.33 / $22,483.36	Professional		$3,547.84	$7,010.33	$22,483.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,577.89 / $6,820.61 / $8,920.87	Facility		$4,577.89	$6,820.61	$8,920.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,577.89 / $6,820.61 / $8,920.87	Professional		$4,577.89	$6,820.61	$8,920.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $5,637.70 / $7,953.10	Professional		$11.00	$5,637.70	$7,953.10
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 $3,303.46 / $5,917.49 / $9,351.08	Professional		$3,303.46	$5,917.49	$9,351.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,238.50 / $6,238.50 / $7,339.40	Professional		$6,238.50	$6,238.50	$7,339.40