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 $1,851.37 / $2,942.20 / $2,942.20	Professional		$1,851.37	$2,942.20	$2,942.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,539.04 / $5,230.95 / $5,908.88	Professional		$4,539.04	$5,230.95	$5,908.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,033.00 / $3,380.84 / $5,324.00	Professional		$2,033.00	$3,380.84	$5,324.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $5,037.28 / $6,744.27	Facility		$2,950.00	$5,037.28	$6,744.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,422.04 / $4,857.32 / $15,440.48	Professional		$2,422.04	$4,857.32	$15,440.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,134.10 / $4,857.32 / $6,119.68	Facility		$3,134.10	$4,857.32	$6,119.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,134.10 / $4,857.32 / $6,119.68	Professional		$3,134.10	$4,857.32	$6,119.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,882.30 / $5,455.40	Professional		$15.00	$3,882.30	$5,455.40
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 $2,321.85 / $4,138.51 / $6,400.38	Professional		$2,321.85	$4,138.51	$6,400.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,283.00 / $4,283.00 / $5,038.89	Professional		$4,283.00	$4,283.00	$5,038.89