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 $1,200.28 / $1,934.41 / $1,934.41	Professional		$1,200.28	$1,934.41	$1,934.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,897.47 / $3,257.11 / $3,693.48	Professional		$2,897.47	$3,257.11	$3,693.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,260.92 / $2,153.67 / $3,714.03	Professional		$1,260.92	$2,153.67	$3,714.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,958.39 / $3,146.37 / $6,608.00	Facility		$1,958.39	$3,146.37	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,651.37 / $3,105.10 / $9,848.32	Professional		$1,651.37	$3,105.10	$9,848.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,064.94 / $3,056.53 / $3,997.71	Facility		$2,064.94	$3,056.53	$3,997.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,153.00 / $2,978.15 / $3,997.71	Professional		$2,153.00	$2,978.15	$3,997.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $2,437.30 / $3,399.20	Professional		$18.00	$2,437.30	$3,399.20
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 $1,539.72 / $3,017.45 / $4,176.88	Professional		$1,539.72	$3,017.45	$4,176.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,521.69 / $2,521.69 / $2,966.70	Professional		$2,521.69	$2,521.69	$2,966.70