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 $997.96 / $1,606.31 / $1,606.31	Professional		$997.96	$1,606.31	$1,606.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,248.21 / $2,709.98 / $3,054.18	Professional		$2,248.21	$2,709.98	$3,054.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,045.83 / $1,643.41 / $2,840.07	Professional		$1,045.83	$1,643.41	$2,840.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,476.67 / $2,577.32 / $6,608.00	Facility		$1,476.67	$2,577.32	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,336.93 / $2,569.89 / $8,173.68	Professional		$1,336.93	$2,569.89	$8,173.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,691.69 / $2,478.87 / $3,313.77	Facility		$1,691.69	$2,478.87	$3,313.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,713.00 / $2,478.87 / $3,313.77	Professional		$1,713.00	$2,478.87	$3,313.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,027.20 / $2,830.10	Professional		$15.00	$2,027.20	$2,830.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,221.23 / $2,187.60 / $3,456.93	Professional		$1,221.23	$2,187.60	$3,456.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,098.90 / $2,098.90 / $2,469.40	Professional		$2,098.90	$2,098.90	$2,469.40