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 $2,816.78 / $4,457.21 / $4,457.21	Professional		$2,816.78	$4,457.21	$4,457.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,271.65 / $7,835.65 / $8,904.15	Professional		$6,271.65	$7,835.65	$8,904.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,003.56 / $4,920.97 / $7,441.47	Professional		$3,003.56	$4,920.97	$7,441.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,796.34 / $6,609.58 / $8,755.53	Facility		$3,796.34	$6,609.58	$8,755.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,532.28 / $7,196.98 / $23,227.76	Professional		$3,532.28	$7,196.98	$23,227.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,562.81 / $6,989.61 / $9,141.93	Facility		$4,562.81	$6,989.61	$9,141.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,276.77 / $6,989.61 / $9,141.93	Professional		$4,276.77	$6,989.61	$9,141.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $5,834.30 / $8,378.70	Professional		$11.00	$5,834.30	$8,378.70
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 $3,379.80 / $6,063.75 / $9,582.20	Professional		$3,379.80	$6,063.75	$9,582.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,365.50 / $6,365.50 / $7,488.80	Professional		$6,365.50	$6,365.50	$7,488.80