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 $1,362.13 / $2,162.13 / $2,162.13	Professional		$1,362.13	$2,162.13	$2,162.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,071.09 / $3,815.31 / $4,335.58	Professional		$3,071.09	$3,815.31	$4,335.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,488.54 / $2,346.46 / $3,643.87	Professional		$1,488.54	$2,346.46	$3,643.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,442.46 / $3,654.00 / $6,608.00	Facility		$2,442.46	$3,654.00	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,722.78 / $3,532.90 / $12,683.78	Professional		$1,722.78	$3,532.90	$12,683.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,288.35 / $3,425.05 / $4,479.72	Facility		$2,288.35	$3,425.05	$4,479.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,288.35 / $3,425.05 / $4,479.72	Professional		$2,288.35	$3,425.05	$4,479.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,831.90 / $4,015.20	Professional		$11.00	$2,831.90	$4,015.20
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 $1,651.00 / $3,246.48 / $4,673.47	Professional		$1,651.00	$3,246.48	$4,673.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,142.00 / $3,142.00 / $3,696.50	Professional		$3,142.00	$3,142.00	$3,696.50