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 $2,454.44 / $3,881.84 / $3,881.84	Professional		$2,454.44	$3,881.84	$3,881.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,425.44 / $6,820.00 / $7,750.00	Professional		$5,425.44	$6,820.00	$7,750.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,615.54 / $4,244.43 / $6,431.46	Professional		$2,615.54	$4,244.43	$6,431.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,276.36 / $5,978.03 / $7,750.00	Facility		$3,276.36	$5,978.03	$7,750.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,101.10 / $6,292.53 / $20,242.96	Professional		$3,101.10	$6,292.53	$20,242.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,043.20 / $6,133.45 / $8,022.15	Facility		$4,043.20	$6,133.45	$8,022.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,760.66 / $6,133.45 / $7,997.13	Professional		$3,760.66	$6,133.45	$7,997.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $5,126.89 / $7,296.50	Professional		$11.00	$5,126.89	$7,296.50
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 $2,971.89 / $4,832.55 / $8,412.51	Professional		$2,971.89	$4,832.55	$8,412.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,548.60 / $5,548.60 / $6,527.70	Professional		$5,548.60	$5,548.60	$6,527.70