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 $2,424.00 / $3,832.51 / $3,832.51	Professional		$2,424.00	$3,832.51	$3,832.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,173.67 / $6,095.53 / $7,636.65	Professional		$5,173.67	$6,095.53	$7,636.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,579.79 / $4,107.66 / $6,033.64	Professional		$2,579.79	$4,107.66	$6,033.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,176.19 / $5,498.10 / $7,647.91	Facility		$3,176.19	$5,498.10	$7,647.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,059.32 / $6,056.08 / $19,981.91	Professional		$3,059.32	$6,056.08	$19,981.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,663.06 / $5,498.10 / $7,920.94	Facility		$3,663.06	$5,498.10	$7,920.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,663.06 / $5,498.10 / $7,647.91	Professional		$3,663.06	$5,498.10	$7,647.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $4,069.50 / $7,205.30	Professional		$11.00	$4,069.50	$7,205.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,895.91 / $5,328.94 / $8,299.16	Professional		$2,895.91	$5,328.94	$8,299.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,475.40 / $5,475.40 / $6,441.70	Professional		$5,475.40	$5,475.40	$6,441.70