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 $2,202.05 / $3,502.77 / $3,502.77	Professional		$2,202.05	$3,502.77	$3,502.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,378.91 / $6,197.51 / $7,042.62	Professional		$5,378.91	$6,197.51	$7,042.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,421.69 / $4,018.33 / $6,633.67	Professional		$2,421.69	$4,018.33	$6,633.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,502.77 / $5,756.04 / $7,505.55	Facility		$3,502.77	$5,756.04	$7,505.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,893.07 / $5,723.48 / $18,351.12	Professional		$2,893.07	$5,723.48	$18,351.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,741.58 / $5,588.22 / $7,201.63	Facility		$3,741.58	$5,588.22	$7,201.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,741.58 / $5,588.22 / $7,201.63	Professional		$3,741.58	$5,588.22	$7,201.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $4,605.50 / $6,494.50	Professional		$15.00	$4,605.50	$6,494.50
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 $2,696.76 / $4,934.05 / $7,633.71	Professional		$2,696.76	$4,934.05	$7,633.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,094.20 / $5,094.20 / $5,993.20	Professional		$5,094.20	$5,094.20	$5,993.20