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 $1,379.99 / $2,192.46 / $2,192.46	Professional		$1,379.99	$2,192.46	$2,192.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,237.90 / $3,873.43 / $4,401.63	Professional		$3,237.90	$3,873.43	$4,401.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,512.69 / $2,465.34 / $3,841.96	Professional		$1,512.69	$2,465.34	$3,841.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,132.07 / $4,294.72 / $14,363.90	Facility		$2,132.07	$4,294.72	$14,363.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,754.64 / $3,582.48 / $12,721.76	Professional		$1,754.64	$3,582.48	$12,721.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,685.00 / $4,566.83 / $5,874.92	Facility		$2,685.00	$4,566.83	$5,874.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,335.65 / $3,491.65 / $4,566.83	Professional		$2,335.65	$3,491.65	$4,566.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,877.30 / $4,069.10	Professional		$11.00	$2,877.30	$4,069.10
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,693.23 / $3,304.46 / $4,759.89	Professional		$1,693.23	$3,304.46	$4,759.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,188.20 / $3,188.20 / $3,750.80	Professional		$3,188.20	$3,188.20	$3,750.80