Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,146.00 / $4,964.00 / $10,563.53	Facility		$4,146.00	$4,964.00	$10,563.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,142.65 / $1,807.99 / $1,807.99	Professional		$1,142.65	$1,807.99	$1,807.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,294.31 / $2,807.10 / $3,508.87	Professional		$2,294.31	$2,807.10	$3,508.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.02 / $1,659.45 / $2,426.42	Professional		$1,090.02	$1,659.45	$2,426.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,464.29 / $2,950.00 / $14,396.24	Facility		$1,464.29	$2,950.00	$14,396.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,273.00 / $2,531.67 / $9,086.08	Professional		$1,273.00	$2,531.67	$9,086.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,751.00 / $3,225.99 / $5,383.60	Facility		$1,751.00	$3,225.99	$5,383.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,425.23 / $2,424.64 / $3,355.96	Professional		$1,425.23	$2,424.64	$3,355.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,891.40 / $3,310.80	Professional		$5.00	$1,891.40	$3,310.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,206.63 / $2,322.07 / $3,669.44	Professional		$1,206.63	$2,322.07	$3,669.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,269.00 / $2,269.00 / $2,669.40	Professional		$2,269.00	$2,269.00	$2,669.40