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 $1,818.43 / $2,891.95 / $2,891.95	Professional		$1,818.43	$2,891.95	$2,891.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,151.59 / $4,772.95 / $5,814.00	Professional		$4,151.59	$4,772.95	$5,814.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,999.30 / $3,235.88 / $4,869.92	Professional		$1,999.30	$3,235.88	$4,869.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,950.00 / $4,621.96 / $6,608.00	Facility		$2,950.00	$4,621.96	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,322.48 / $4,683.67 / $15,158.08	Professional		$2,322.48	$4,683.67	$15,158.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,060.63 / $4,159.10 / $6,033.55	Facility		$3,060.63	$4,159.10	$6,033.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,984.79 / $4,151.59 / $6,033.55	Professional		$2,984.79	$4,151.59	$6,033.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,879.20 / $5,360.20	Professional		$15.00	$2,879.20	$5,360.20
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 $2,225.71 / $4,073.31 / $6,300.31	Professional		$2,225.71	$4,073.31	$6,300.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,207.30 / $4,207.30 / $4,949.80	Professional		$4,207.30	$4,207.30	$4,949.80