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 $1,456.77 / $2,312.94 / $2,312.94	Professional		$1,456.77	$2,312.94	$2,312.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,326.30 / $4,082.69 / $4,639.42	Professional		$3,326.30	$4,082.69	$4,639.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,593.31 / $2,646.41 / $3,829.29	Professional		$1,593.31	$2,646.41	$3,829.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,150.85 / $3,658.80 / $6,608.00	Facility		$2,150.85	$3,658.80	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,845.97 / $3,722.71 / $14,521.57	Professional		$1,845.97	$3,722.71	$14,521.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,301.05 / $3,669.05 / $4,798.84	Facility		$2,301.05	$3,669.05	$4,798.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,301.05 / $3,669.05 / $4,798.84	Professional		$2,301.05	$3,669.05	$4,798.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,033.00 / $4,292.50	Professional		$11.00	$3,033.00	$4,292.50
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 $1,769.06 / $3,230.55 / $5,007.66	Professional		$1,769.06	$3,230.55	$5,007.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,361.50 / $3,361.50 / $3,954.70	Professional		$3,361.50	$3,361.50	$3,954.70