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 $1,313.56 / $2,084.51 / $2,084.51	Professional		$1,313.56	$2,084.51	$2,084.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,161.96 / $3,677.92 / $4,179.45	Professional		$3,161.96	$3,677.92	$4,179.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.92 / $2,379.69 / $3,780.06	Professional		$1,433.92	$2,379.69	$3,780.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,501.41 / $3,522.82 / $6,608.00	Facility		$2,501.41	$3,522.82	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,683.92 / $3,406.08 / $11,724.26	Professional		$1,683.92	$3,406.08	$11,724.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,197.56 / $3,290.66 / $4,303.96	Facility		$2,197.56	$3,290.66	$4,303.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,197.56 / $3,290.66 / $4,303.96	Professional		$2,197.56	$3,290.66	$4,303.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,730.50 / $3,873.60	Professional		$11.00	$2,730.50	$3,873.60
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 $1,591.20 / $2,850.32 / $4,504.20	Professional		$1,591.20	$2,850.32	$4,504.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,027.80 / $3,027.80 / $3,562.10	Professional		$3,027.80	$3,027.80	$3,562.10