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 $2,154.56 / $3,426.89 / $3,426.89	Professional		$2,154.56	$3,426.89	$3,426.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,607.26 / $5,449.11 / $6,791.27	Professional		$4,607.26	$5,449.11	$6,791.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,369.17 / $3,646.00 / $5,355.54	Professional		$2,369.17	$3,646.00	$5,355.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,426.89 / $5,277.41 / $7,305.00	Facility		$3,426.89	$5,277.41	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,752.51 / $5,475.10 / $17,960.64	Professional		$2,752.51	$5,475.10	$17,960.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,396.75 / $4,922.89 / $7,151.45	Facility		$3,396.75	$4,922.89	$7,151.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,396.75 / $4,922.89 / $6,888.88	Professional		$3,396.75	$4,922.89	$6,888.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,855.70 / $6,354.00	Professional		$15.00	$3,855.70	$6,354.00
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 $2,504.12 / $4,826.47 / $7,466.88	Professional		$2,504.12	$4,826.47	$7,466.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,984.50 / $4,984.50 / $5,864.10	Professional		$4,984.50	$4,984.50	$5,864.10