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 $1,693.80 / $2,690.92 / $2,690.92	Professional		$1,693.80	$2,690.92	$2,690.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,151.82 / $4,753.81 / $5,402.06	Professional		$4,151.82	$4,753.81	$5,402.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,855.70 / $3,084.17 / $4,855.80	Professional		$1,855.70	$3,084.17	$4,855.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,547.64 / $6,608.00	Facility		$2,950.00	$4,547.64	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,201.40 / $4,396.93 / $15,830.79	Professional		$2,201.40	$4,396.93	$15,830.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,860.86 / $4,244.87 / $5,552.01	Facility		$2,860.86	$4,244.87	$5,552.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,860.86 / $4,244.87 / $5,552.01	Professional		$2,860.86	$4,244.87	$5,552.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,532.50 / $4,993.10	Professional		$11.00	$3,532.50	$4,993.10
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 $2,062.34 / $3,769.44 / $5,837.86	Professional		$2,062.34	$3,769.44	$5,837.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,911.50 / $3,911.50 / $4,601.70	Professional		$3,911.50	$3,911.50	$4,601.70