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 $2,522.05 / $3,902.56 / $3,902.56	Professional		$2,522.05	$3,902.56	$3,902.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,389.04 / $6,686.86 / $7,587.46	Professional		$5,389.04	$6,686.86	$7,587.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,458.92 / $3,797.50 / $6,672.78	Professional		$2,458.92	$3,797.50	$6,672.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,279.73 / $5,892.23 / $7,385.46	Facility		$3,279.73	$5,892.23	$7,385.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,120.04 / $6,161.20 / $20,151.52	Professional		$3,120.04	$6,161.20	$20,151.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,050.16 / $5,892.23 / $7,962.78	Facility		$4,050.16	$5,892.23	$7,962.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,863.66 / $5,892.23 / $7,949.67	Professional		$3,863.66	$5,892.23	$7,949.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $4,883.80 / $7,336.50	Professional		$11.00	$4,883.80	$7,336.50
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 $2,927.84 / $5,272.23 / $8,287.83	Professional		$2,927.84	$5,272.23	$8,287.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,195.60 / $5,195.60 / $6,112.50	Professional		$5,195.60	$5,195.60	$6,112.50