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 $1,957.56 / $3,112.48 / $3,112.48	Professional		$1,957.56	$3,112.48	$3,112.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,788.35 / $5,504.19 / $6,254.76	Professional		$4,788.35	$5,504.19	$6,254.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,149.29 / $3,571.98 / $5,822.77	Professional		$2,149.29	$3,571.98	$5,822.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,112.48 / $5,131.68 / $6,651.05	Facility		$3,112.48	$5,131.68	$6,651.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,564.16 / $5,085.75 / $16,313.36	Professional		$2,564.16	$5,085.75	$16,313.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,305.76 / $4,945.42 / $6,468.28	Facility		$3,305.76	$4,945.42	$6,468.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,305.76 / $4,945.42 / $6,468.28	Professional		$3,305.76	$4,945.42	$6,468.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $4,088.30 / $5,769.80	Professional		$11.00	$4,088.30	$5,769.80
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 $2,390.92 / $4,372.18 / $6,768.00	Professional		$2,390.92	$4,372.18	$6,768.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,525.00 / $4,525.00 / $5,323.50	Professional		$4,525.00	$4,525.00	$5,323.50