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 $1,814.79 / $2,531.34 / $2,531.34	Professional		$1,814.79	$2,531.34	$2,531.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,815.51 / $4,470.58 / $5,080.20	Professional		$3,815.51	$4,470.58	$5,080.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,743.63 / $2,896.53 / $4,567.93	Professional		$1,743.63	$2,896.53	$4,567.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,277.96 / $6,608.00	Facility		$2,950.00	$4,277.96	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,044.63 / $4,136.18 / $15,830.79	Professional		$2,044.63	$4,136.18	$15,830.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,656.61 / $4,006.57 / $5,240.32	Facility		$2,656.61	$4,006.57	$5,240.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,656.61 / $4,006.57 / $5,240.32	Professional		$2,656.61	$4,006.57	$5,240.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,321.40 / $4,696.89	Professional		$11.00	$3,321.40	$4,696.89
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 $1,937.30 / $3,470.30 / $5,483.91	Professional		$1,937.30	$3,470.30	$5,483.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,677.20 / $3,677.20 / $4,326.10	Professional		$3,677.20	$3,677.20	$4,326.10