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 $1,745.21 / $3,075.09 / $3,075.09	Professional		$1,745.21	$3,075.09	$3,075.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,109.87 / $4,647.34 / $5,265.74	Professional		$4,109.87	$4,647.34	$5,265.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,723.93 / $2,985.27 / $5,084.09	Professional		$1,723.93	$2,985.27	$5,084.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,506.51 / $4,988.37 / $14,396.24	Facility		$2,506.51	$4,988.37	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,307.83 / $4,363.24 / $14,283.70	Professional		$2,307.83	$4,363.24	$14,283.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,931.73 / $4,287.34 / $5,712.21	Facility		$2,931.73	$4,287.34	$5,712.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,965.00 / $4,109.87 / $5,712.21	Professional		$2,965.00	$4,109.87	$5,712.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,494.40 / $4,806.20	Professional		$11.00	$3,494.40	$4,806.20
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $2,163.59 / $3,714.16 / $5,869.27	Professional		$2,163.59	$3,714.16	$5,869.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,560.10 / $3,560.10 / $4,188.39	Professional		$3,560.10	$3,560.10	$4,188.39