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 $2,041.85 / $3,245.80 / $3,245.80	Professional		$2,041.85	$3,245.80	$3,245.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,997.93 / $5,738.82 / $6,521.39	Professional		$4,997.93	$5,738.82	$6,521.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,241.33 / $3,726.68 / $5,565.08	Professional		$2,241.33	$3,726.68	$5,565.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,245.80 / $5,244.00 / $6,932.65	Facility		$3,245.80	$5,244.00	$6,932.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,699.76 / $5,246.58 / $17,015.28	Professional		$2,699.76	$5,246.58	$17,015.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,353.11 / $5,226.03 / $6,768.62	Facility		$3,353.11	$5,226.03	$6,768.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,399.00 / $5,226.03 / $6,768.62	Professional		$3,399.00	$5,226.03	$6,768.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,812.90 / $6,020.10	Professional		$11.00	$3,812.90	$6,020.10
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 $2,493.21 / $5,154.12 / $7,057.52	Professional		$2,493.21	$5,154.12	$7,057.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,720.10 / $4,720.10 / $5,553.00	Professional		$4,720.10	$4,720.10	$5,553.00