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 $1,106.68 / $1,587.91 / $1,587.91	Professional		$1,106.68	$1,587.91	$1,587.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,244.59 / $2,526.57 / $2,828.33	Professional		$2,244.59	$2,526.57	$2,828.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $979.71 / $1,670.92 / $2,792.74	Professional		$979.71	$1,670.92	$2,792.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,893.10 / $2,526.57 / $7,305.00	Facility		$1,893.10	$2,526.57	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,183.73 / $2,375.07 / $4,192.37	Professional		$1,183.73	$2,375.07	$4,192.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,588.09 / $2,363.35 / $3,091.11	Facility		$1,588.09	$2,363.35	$3,091.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,588.09 / $2,310.75 / $3,091.11	Professional		$1,588.09	$2,310.75	$3,091.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,057.97 / $1,727.23 / $2,117.90	Professional		$1,057.97	$1,727.23	$2,117.90
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 $1,134.41 / $2,290.61 / $3,211.16	Professional		$1,134.41	$2,290.61	$3,211.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,673.62 / $2,118.50 / $2,492.40	Professional		$1,673.62	$2,118.50	$2,492.40