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 $1,175.34 / $1,865.67 / $1,865.67	Professional		$1,175.34	$1,865.67	$1,865.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,889.68 / $3,292.15 / $3,741.08	Professional		$2,889.68	$3,292.15	$3,741.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,284.81 / $2,132.82 / $3,487.06	Professional		$1,284.81	$2,132.82	$3,487.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,312.23 / $3,168.17 / $6,608.00	Facility		$2,312.23	$3,168.17	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,525.65 / $3,048.48 / $12,366.76	Professional		$1,525.65	$3,048.48	$12,366.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,952.31 / $2,957.70 / $3,868.49	Facility		$1,952.31	$2,957.70	$3,868.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,952.31 / $2,957.70 / $3,868.49	Professional		$1,952.31	$2,957.70	$3,868.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $2,453.50 / $3,464.10	Professional		$10.00	$2,453.50	$3,464.10
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 $1,426.92 / $2,607.57 / $4,039.18	Professional		$1,426.92	$2,607.57	$4,039.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,712.00 / $2,712.00 / $3,190.60	Professional		$2,712.00	$2,712.00	$3,190.60