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 $1,071.44 / $1,728.14 / $1,728.14	Professional		$1,071.44	$1,728.14	$1,728.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,376.56 / $2,907.04 / $3,272.02	Professional		$2,376.56	$2,907.04	$3,272.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,128.64 / $1,778.31 / $3,106.31	Professional		$1,128.64	$1,778.31	$3,106.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,850.33 / $2,853.91 / $6,608.00	Facility		$1,850.33	$2,853.91	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,452.44 / $2,786.99 / $8,766.48	Professional		$1,452.44	$2,786.99	$8,766.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,842.94 / $2,660.09 / $3,581.22	Facility		$1,842.94	$2,660.09	$3,581.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,842.94 / $2,660.09 / $3,312.25	Professional		$1,842.94	$2,660.09	$3,312.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,161.69 / $3,030.00	Professional		$15.00	$2,161.69	$3,030.00
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 $1,324.40 / $2,372.40 / $3,748.97	Professional		$1,324.40	$2,372.40	$3,748.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,252.40 / $2,252.40 / $2,649.90	Professional		$2,252.40	$2,252.40	$2,649.90