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 $2,044.25 / $3,021.36 / $4,864.04	Professional		$2,044.25	$3,021.36	$4,864.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,648.89 / $5,341.43 / $6,069.81	Professional		$4,648.89	$5,341.43	$6,069.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,085.84 / $3,479.59 / $6,331.08	Professional		$2,085.84	$3,479.59	$6,331.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,021.36 / $4,898.00 / $6,608.00	Facility		$3,021.36	$4,898.00	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,475.58 / $4,980.31 / $16,202.05	Professional		$2,475.58	$4,980.31	$16,202.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,232.27 / $4,832.59 / $6,268.44	Facility		$3,232.27	$4,832.59	$6,268.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,232.27 / $4,832.59 / $6,943.18	Professional		$3,232.27	$4,832.59	$6,943.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $4,357.00 / $5,604.40	Professional		$11.00	$4,357.00	$5,604.40
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 $2,325.63 / $4,255.22 / $6,583.16	Professional		$2,325.63	$4,255.22	$6,583.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,391.50 / $4,391.50 / $5,166.50	Professional		$4,391.50	$4,391.50	$5,166.50