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 $2,042.02 / $3,241.71 / $5,192.54	Professional		$2,042.02	$3,241.71	$5,192.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,644.74 / $5,164.72 / $6,505.77	Professional		$4,644.74	$5,164.72	$6,505.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,234.71 / $3,617.65 / $6,614.69	Professional		$2,234.71	$3,617.65	$6,614.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,241.71 / $5,119.68 / $6,884.35	Facility		$3,241.71	$5,119.68	$6,884.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,690.98 / $5,223.59 / $17,002.00	Professional		$2,690.98	$5,223.59	$17,002.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,391.97 / $5,038.72 / $6,590.29	Facility		$3,391.97	$5,038.72	$6,590.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,391.97 / $4,718.37 / $6,590.29	Professional		$3,391.97	$4,718.37	$6,590.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,443.10 / $6,015.30	Professional		$11.00	$3,443.10	$6,015.30
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 $2,482.29 / $4,739.28 / $7,026.60	Professional		$2,482.29	$4,739.28	$7,026.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,712.39 / $4,712.39 / $5,544.00	Professional		$4,712.39	$4,712.39	$5,544.00