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 $2,164.29 / $3,440.88 / $3,440.88	Professional		$2,164.29	$3,440.88	$3,440.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,293.98 / $6,084.42 / $6,914.11	Professional		$5,293.98	$6,084.42	$6,914.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,376.48 / $3,965.14 / $6,468.60	Professional		$2,376.48	$3,965.14	$6,468.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,440.88 / $5,433.96 / $6,930.75	Facility		$3,440.88	$5,433.96	$6,930.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,797.17 / $5,673.89 / $18,482.93	Professional		$2,797.17	$5,673.89	$18,482.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,359.57 / $5,455.03 / $7,107.24	Facility		$3,359.57	$5,455.03	$7,107.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,359.57 / $5,460.31 / $7,905.74	Professional		$3,359.57	$5,460.31	$7,905.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $4,969.10 / $6,380.20	Professional		$11.00	$4,969.10	$6,380.20
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 $2,713.66 / $3,999.92 / $7,501.12	Professional		$2,713.66	$3,999.92	$7,501.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,003.10 / $5,003.10 / $5,886.00	Professional		$5,003.10	$5,003.10	$5,886.00