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 $1,535.92 / $2,287.58 / $8,186.64	Professional		$1,535.92	$2,287.58	$8,186.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.80 / $4,035.14 / $4,585.39	Professional		$3,548.80	$4,035.14	$4,585.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,573.07 / $2,609.23 / $4,200.47	Professional		$1,573.07	$2,609.23	$4,200.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,328.67 / $3,732.15 / $6,608.00	Facility		$2,328.67	$3,732.15	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,875.29 / $3,737.88 / $14,280.36	Professional		$1,875.29	$3,737.88	$14,280.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,421.30 / $3,632.53 / $4,736.34	Facility		$2,421.30	$3,632.53	$4,736.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,421.30 / $3,632.53 / $4,736.34	Professional		$2,421.30	$3,632.53	$4,736.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,001.70 / $4,246.60	Professional		$11.00	$3,001.70	$4,246.60
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 $1,744.95 / $3,186.60 / $4,939.43	Professional		$1,744.95	$3,186.60	$4,939.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,323.60 / $3,323.60 / $3,910.10	Professional		$3,323.60	$3,323.60	$3,910.10