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 $1,106.51 / $1,761.02 / $1,761.02	Professional		$1,106.51	$1,761.02	$1,761.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,627.35 / $2,958.43 / $3,352.08	Professional		$2,627.35	$2,958.43	$3,352.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,106.35 / $1,893.54 / $3,138.35	Professional		$1,106.35	$1,893.54	$3,138.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,638.74 / $2,723.88 / $6,608.00	Facility		$1,638.74	$2,723.88	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,429.78 / $2,757.49 / $9,848.32	Professional		$1,429.78	$2,757.49	$9,848.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,779.57 / $2,646.59 / $3,579.24	Facility		$1,779.57	$2,646.59	$3,579.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,857.00 / $2,627.35 / $3,579.24	Professional		$1,857.00	$2,627.35	$3,579.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $2,109.50 / $2,964.30	Professional		$18.00	$2,109.50	$2,964.30
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 $1,310.38 / $2,347.29 / $3,709.28	Professional		$1,310.38	$2,347.29	$3,709.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,224.69 / $2,224.69 / $2,617.30	Professional		$2,224.69	$2,224.69	$2,617.30