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 $1,163.97 / $1,983.76 / $7,425.43	Professional		$1,163.97	$1,983.76	$7,425.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,812.55 / $3,222.51 / $3,532.11	Professional		$2,812.55	$3,222.51	$3,532.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,225.40 / $2,091.53 / $3,052.35	Professional		$1,225.40	$2,091.53	$3,052.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,341.50 / $3,160.68 / $7,305.00	Facility		$2,341.50	$3,160.68	$7,305.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,502.40 / $3,020.55 / $5,304.68	Professional		$1,502.40	$3,020.55	$5,304.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,994.67 / $2,961.34 / $3,873.25	Facility		$1,994.67	$2,961.34	$3,873.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,994.67 / $2,892.98 / $3,873.25	Professional		$1,994.67	$2,892.98	$3,873.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,323.15 / $2,162.02 / $2,649.58	Professional		$1,323.15	$2,162.02	$2,649.58
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 $1,435.38 / $2,571.21 / $4,128.97	Professional		$1,435.38	$2,571.21	$4,128.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,095.32 / $2,652.30 / $3,120.40	Professional		$2,095.32	$2,652.30	$3,120.40