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 $2,377.39 / $3,720.99 / $3,720.99	Professional		$2,377.39	$3,720.99	$3,720.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,808.55 / $7,106.91 / $7,908.84	Professional		$5,808.55	$7,106.91	$7,908.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,796.27 / $4,573.33 / $6,907.06	Professional		$2,796.27	$4,573.33	$6,907.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,512.71 / $5,847.00 / $7,453.06	Facility		$3,512.71	$5,847.00	$7,453.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,141.03 / $6,056.40 / $21,487.76	Professional		$3,141.03	$6,056.40	$21,487.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,001.45 / $5,977.66 / $7,818.34	Facility		$4,001.45	$5,977.66	$7,818.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,001.45 / $5,977.66 / $8,237.37	Professional		$4,001.45	$5,977.66	$8,237.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $5,139.60 / $6,743.50	Professional		$11.00	$5,139.60	$6,743.50
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 $2,998.88 / $6,047.75 / $8,135.22	Professional		$2,998.88	$6,047.75	$8,135.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,913.10 / $5,913.10 / $6,956.60	Professional		$5,913.10	$5,913.10	$6,956.60