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 $1,074.45 / $1,732.35 / $1,732.35	Professional		$1,074.45	$1,732.35	$1,732.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,591.29 / $2,915.74 / $3,319.02	Professional		$2,591.29	$2,915.74	$3,319.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,130.95 / $1,928.94 / $3,278.66	Professional		$1,130.95	$1,928.94	$3,278.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,695.02 / $2,846.89 / $6,608.00	Facility		$1,695.02	$2,846.89	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,491.13 / $2,789.56 / $8,792.95	Professional		$1,491.13	$2,789.56	$8,792.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,840.29 / $2,744.34 / $3,589.42	Facility		$1,840.29	$2,744.34	$3,589.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,953.00 / $2,668.10 / $3,589.42	Professional		$1,953.00	$2,668.10	$3,589.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $2,194.50 / $3,039.50	Professional		$12.00	$2,194.50	$3,039.50
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 $1,330.00 / $2,374.58 / $3,752.42	Professional		$1,330.00	$2,374.58	$3,752.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,259.19 / $2,259.19 / $2,657.80	Professional		$2,259.19	$2,259.19	$2,657.80