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 $1,331.49 / $2,115.03 / $2,115.03	Professional		$1,331.49	$2,115.03	$2,115.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,265.21 / $3,736.04 / $4,245.50	Professional		$3,265.21	$3,736.04	$4,245.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,458.04 / $2,422.83 / $3,847.71	Professional		$1,458.04	$2,422.83	$3,847.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,970.77 / $3,475.50 / $6,608.00	Facility		$1,970.77	$3,475.50	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,722.03 / $3,455.93 / $11,091.60	Professional		$1,722.03	$3,455.93	$11,091.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,238.76 / $3,358.58 / $4,392.81	Facility		$2,238.76	$3,358.58	$4,392.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.76 / $3,358.58 / $4,392.81	Professional		$2,238.76	$3,358.58	$4,392.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,782.10 / $3,925.10	Professional		$11.00	$2,782.10	$3,925.10
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 $1,620.94 / $2,903.59 / $4,588.38	Professional		$1,620.94	$2,903.59	$4,588.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,074.00 / $3,074.00 / $3,616.40	Professional		$3,074.00	$3,074.00	$3,616.40