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 $1,863.80 / $2,554.79 / $8,098.00	Professional		$1,863.80	$2,554.79	$8,098.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,946.92 / $4,511.79 / $5,127.03	Professional		$3,946.92	$4,511.79	$5,127.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,761.11 / $2,932.48 / $4,962.76	Professional		$1,761.11	$2,932.48	$4,962.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,445.73 / $4,202.51 / $6,608.00	Facility		$2,445.73	$4,202.51	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,095.44 / $4,174.50 / $13,402.96	Professional		$2,095.44	$4,174.50	$13,402.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,714.46 / $4,058.20 / $5,307.86	Facility		$2,714.46	$4,058.20	$5,307.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,714.46 / $4,058.20 / $5,307.86	Professional		$2,714.46	$4,058.20	$5,307.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,675.10 / $4,739.80	Professional		$11.00	$3,675.10	$4,739.80
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 $1,957.68 / $3,580.30 / $5,541.59	Professional		$1,957.68	$3,580.30	$5,541.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,713.80 / $3,713.80 / $4,369.20	Professional		$3,713.80	$3,713.80	$4,369.20