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 $2,350.63 / $4,135.81 / $4,135.81	Professional		$2,350.63	$4,135.81	$4,135.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,529.80 / $6,238.09 / $7,130.71	Professional		$5,529.80	$6,238.09	$7,130.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,304.55 / $3,993.96 / $6,854.45	Professional		$2,304.55	$3,993.96	$6,854.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,230.20 / $5,629.54 / $7,123.00	Facility		$3,230.20	$5,629.54	$7,123.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,015.18 / $5,755.99 / $18,800.00	Professional		$3,015.18	$5,755.99	$18,800.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,833.52 / $5,743.42 / $7,512.02	Facility		$3,833.52	$5,743.42	$7,512.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,833.52 / $5,529.80 / $7,512.02	Professional		$3,833.52	$5,529.80	$7,512.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $4,603.80 / $6,538.80	Professional		$5.00	$4,603.80	$6,538.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,735.29 / $5,138.96 / $7,742.76	Professional		$2,735.29	$5,138.96	$7,742.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,790.10 / $4,790.10 / $5,635.40	Professional		$4,790.10	$4,790.10	$5,635.40