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 $1,154.76 / $1,863.28 / $1,863.28	Professional		$1,154.76	$1,863.28	$1,863.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,773.60 / $3,132.95 / $3,581.00	Professional		$2,773.60	$3,132.95	$3,581.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,217.20 / $2,070.86 / $3,670.70	Professional		$1,217.20	$2,070.86	$3,670.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,903.23 / $3,096.00 / $6,608.00	Facility		$1,903.23	$3,096.00	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,614.42 / $3,009.68 / $9,447.36	Professional		$1,614.42	$3,009.68	$9,447.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,982.70 / $2,960.38 / $3,871.98	Facility		$1,982.70	$2,960.38	$3,871.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,116.00 / $2,943.36 / $3,871.98	Professional		$2,116.00	$2,943.36	$3,871.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $2,361.50 / $3,263.80	Professional		$18.00	$2,361.50	$3,263.80
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 $1,430.22 / $2,561.96 / $4,048.52	Professional		$1,430.22	$2,561.96	$4,048.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,426.19 / $2,426.19 / $2,854.30	Professional		$2,426.19	$2,426.19	$2,854.30