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 $1,374.23 / $1,873.03 / $1,915.09	Professional		$1,374.23	$1,873.03	$1,915.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,797.75 / $3,152.91 / $3,598.09	Professional		$2,797.75	$3,152.91	$3,598.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.22 / $2,082.08 / $3,510.79	Professional		$1,223.22	$2,082.08	$3,510.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,806.43 / $3,028.47 / $6,608.00	Facility		$1,806.43	$3,028.47	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,628.80 / $3,020.11 / $9,508.08	Professional		$1,628.80	$3,020.11	$9,508.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,002.92 / $2,951.58 / $3,882.92	Facility		$2,002.92	$2,951.58	$3,882.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,126.00 / $2,883.53 / $3,882.92	Professional		$2,126.00	$2,883.53	$3,882.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $2,370.90 / $3,284.70	Professional		$10.00	$2,370.90	$3,284.70
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 $1,435.18 / $2,333.71 / $4,062.55	Professional		$1,435.18	$2,333.71	$4,062.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,441.60 / $2,441.60 / $2,872.40	Professional		$2,441.60	$2,441.60	$2,872.40