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 $1,684.58 / $2,676.86 / $2,676.86	Professional		$1,684.58	$2,676.86	$2,676.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,105.58 / $4,730.55 / $5,375.63	Professional		$4,105.58	$4,730.55	$5,375.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,846.71 / $3,070.32 / $4,430.35	Professional		$1,846.71	$3,070.32	$4,430.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,682.08 / $4,401.46 / $6,608.00	Facility		$2,682.08	$4,401.46	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,150.57 / $4,373.95 / $14,039.20	Professional		$2,150.57	$4,373.95	$14,039.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,838.13 / $4,237.66 / $5,542.57	Facility		$2,838.13	$4,237.66	$5,542.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,838.13 / $4,237.66 / $5,542.57	Professional		$2,838.13	$4,237.66	$5,542.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,514.70 / $4,967.60	Professional		$11.00	$3,514.70	$4,967.60
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 $2,110.73 / $3,752.82 / $5,813.58	Professional		$2,110.73	$3,752.82	$5,813.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,890.90 / $3,890.90 / $4,577.60	Professional		$3,890.90	$3,890.90	$4,577.60