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 $1,784.76 / $2,833.57 / $2,833.57	Professional		$1,784.76	$2,833.57	$2,833.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,156.60 / $5,002.18 / $5,684.29	Professional		$4,156.60	$5,002.18	$5,684.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,951.84 / $3,247.75 / $6,518.16	Professional		$1,951.84	$3,247.75	$6,518.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,651.69 / $4,597.96 / $6,608.00	Facility		$2,651.69	$4,597.96	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,262.25 / $4,630.03 / $14,868.96	Professional		$2,262.25	$4,630.03	$14,868.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,989.73 / $4,486.66 / $5,868.27	Facility		$2,989.73	$4,486.66	$5,868.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.20 / $4,486.66 / $5,868.27	Professional		$2,951.20	$4,486.66	$5,868.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $4,068.60 / $5,260.60	Professional		$11.00	$4,068.60	$5,260.60
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 $2,167.98 / $4,261.91 / $6,136.92	Professional		$2,167.98	$4,261.91	$6,136.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,118.80 / $4,118.80 / $4,845.60	Professional		$4,118.80	$4,118.80	$4,845.60