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 $1,325.98 / $2,111.77 / $2,111.77	Professional		$1,325.98	$2,111.77	$2,111.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,144.08 / $3,543.73 / $3,998.73	Professional		$3,144.08	$3,543.73	$3,998.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,328.54 / $2,298.29 / $3,909.02	Professional		$1,328.54	$2,298.29	$3,909.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,047.30 / $3,298.33 / $6,608.00	Facility		$2,047.30	$3,298.33	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,719.92 / $3,144.08 / $10,672.24	Professional		$1,719.92	$3,144.08	$10,672.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,061.48 / $3,144.08 / $4,030.63	Facility		$2,061.48	$3,144.08	$4,030.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,247.00 / $3,144.08 / $4,030.63	Professional		$2,247.00	$3,144.08	$4,030.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $2,728.80 / $3,609.50	Professional		$18.00	$2,728.80	$3,609.50
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 $1,505.73 / $2,980.56 / $4,218.51	Professional		$1,505.73	$2,980.56	$4,218.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,662.20 / $2,662.20 / $3,132.00	Professional		$2,662.20	$2,662.20	$3,132.00