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 $1,668.97 / $2,652.87 / $2,652.87	Professional		$1,668.97	$2,652.87	$2,652.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,806.99 / $4,197.53 / $5,328.80	Professional		$3,806.99	$4,197.53	$5,328.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,829.85 / $2,882.90 / $5,554.87	Professional		$1,829.85	$2,882.90	$5,554.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,479.48 / $4,085.42 / $6,608.00	Facility		$2,479.48	$4,085.42	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,128.69 / $4,284.34 / $13,902.00	Professional		$2,128.69	$4,284.34	$13,902.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,821.31 / $4,043.32 / $5,521.71	Facility		$2,821.31	$4,043.32	$5,521.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,821.31 / $3,806.99 / $5,521.71	Professional		$2,821.31	$3,806.99	$5,521.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,822.40 / $4,921.60	Professional		$11.00	$2,822.40	$4,921.60
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 $2,035.95 / $3,719.49 / $5,763.15	Professional		$2,035.95	$3,719.49	$5,763.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,853.70 / $3,853.70 / $4,533.80	Professional		$3,853.70	$3,853.70	$4,533.80