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 $1,444.37 / $2,289.62 / $2,289.62	Professional		$1,444.37	$2,289.62	$2,289.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,252.10 / $3,562.05 / $4,584.18	Professional		$3,252.10	$3,562.05	$4,584.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,572.44 / $2,402.46 / $4,750.79	Professional		$1,572.44	$2,402.46	$4,750.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,014.66 / $3,296.90 / $6,608.00	Facility		$2,014.66	$3,296.90	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,816.67 / $3,609.64 / $12,026.40	Professional		$1,816.67	$3,609.64	$12,026.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,017.60 / $3,296.90 / $4,721.18	Facility		$2,017.60	$3,296.90	$4,721.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,122.00 / $3,270.20 / $4,721.18	Professional		$2,122.00	$3,270.20	$4,721.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,221.50 / $4,255.20	Professional		$11.00	$2,221.50	$4,255.20
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 $1,740.97 / $2,795.45 / $4,928.17	Professional		$1,740.97	$2,795.45	$4,928.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,326.20 / $3,326.20 / $3,913.20	Professional		$3,326.20	$3,326.20	$3,913.20