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 $1,604.27 / $2,547.33 / $2,547.33	Professional		$1,604.27	$2,547.33	$2,547.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,577.76 / $4,441.01 / $5,111.41	Professional		$3,577.76	$4,441.01	$5,111.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,754.37 / $2,829.48 / $4,954.80	Professional		$1,754.37	$2,829.48	$4,954.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,417.59 / $3,973.54 / $6,608.00	Facility		$2,417.59	$3,973.54	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,032.70 / $4,099.29 / $15,979.56	Professional		$2,032.70	$4,099.29	$15,979.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,702.42 / $3,862.86 / $5,287.94	Facility		$2,702.42	$3,862.86	$5,287.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,607.48 / $3,862.86 / $5,276.24	Professional		$2,607.48	$3,862.86	$5,276.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,809.50 / $4,726.89	Professional		$11.00	$2,809.50	$4,726.89
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 $1,948.01 / $3,559.71 / $5,514.22	Professional		$1,948.01	$3,559.71	$5,514.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,701.60 / $3,701.60 / $4,354.80	Professional		$3,701.60	$3,701.60	$4,354.80