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 $2,121.10 / $3,373.59 / $3,373.59	Professional		$2,121.10	$3,373.59	$3,373.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,142.55 / $5,968.16 / $6,782.00	Professional		$5,142.55	$5,968.16	$6,782.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,331.42 / $3,870.41 / $5,864.98	Professional		$2,331.42	$3,870.41	$5,864.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,373.59 / $5,293.23 / $7,222.57	Facility		$3,373.59	$5,293.23	$7,222.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,708.60 / $5,462.35 / $17,676.64	Professional		$2,708.60	$5,462.35	$17,676.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,580.12 / $5,293.23 / $7,033.86	Facility		$3,580.12	$5,293.23	$7,033.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,580.12 / $5,293.23 / $7,033.86	Professional		$3,580.12	$5,293.23	$7,033.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $4,434.70 / $6,254.10	Professional		$11.00	$4,434.70	$6,254.10
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 $2,595.75 / $4,649.77 / $7,347.77	Professional		$2,595.75	$4,649.77	$7,347.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,905.50 / $4,905.50 / $5,771.20	Professional		$4,905.50	$4,905.50	$5,771.20