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 $1,615.75 / $2,847.69 / $2,847.69	Professional		$1,615.75	$2,847.69	$2,847.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,811.48 / $4,305.42 / $4,879.10	Professional		$3,811.48	$4,305.42	$4,879.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,600.20 / $2,770.61 / $4,831.33	Professional		$1,600.20	$2,770.61	$4,831.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,395.09 / $4,074.44 / $6,608.00	Facility		$2,395.09	$4,074.44	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,139.34 / $4,044.69 / $14,283.70	Professional		$2,139.34	$4,044.69	$14,283.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,737.59 / $4,045.75 / $5,291.57	Facility		$2,737.59	$4,045.75	$5,291.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,816.00 / $3,811.48 / $5,291.57	Professional		$2,816.00	$3,811.48	$5,291.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,228.10 / $4,440.00	Professional		$11.00	$3,228.10	$4,440.00
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 $1,922.06 / $3,623.40 / $5,440.78	Professional		$1,922.06	$3,623.40	$5,440.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,301.60 / $3,301.60 / $3,884.30	Professional		$3,301.60	$3,301.60	$3,884.30