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 $1,363.32 / $2,164.79 / $2,164.79	Professional		$1,363.32	$2,164.79	$2,164.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,316.34 / $3,821.65 / $4,342.78	Professional		$3,316.34	$3,821.65	$4,342.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,492.38 / $2,478.71 / $3,953.38	Professional		$1,492.38	$2,478.71	$3,953.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,544.77 / $3,658.50 / $6,608.00	Facility		$2,544.77	$3,658.50	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,759.87 / $3,537.25 / $11,363.12	Professional		$1,759.87	$3,537.25	$11,363.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,303.51 / $3,443.20 / $4,503.47	Facility		$2,303.51	$3,443.20	$4,503.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,303.51 / $3,443.20 / $4,503.47	Professional		$2,303.51	$3,443.20	$4,503.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $2,850.20 / $4,016.70	Professional		$10.00	$2,850.20	$4,016.70
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 $1,657.78 / $3,031.52 / $4,692.68	Professional		$1,657.78	$3,031.52	$4,692.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,148.40 / $3,148.40 / $3,704.00	Professional		$3,148.40	$3,148.40	$3,704.00