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 $1,008.73 / $1,359.85 / $1,431.00	Professional		$1,008.73	$1,359.85	$1,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,029.13 / $2,303.66 / $2,609.01	Professional		$2,029.13	$2,303.66	$2,609.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $863.31 / $1,452.94 / $2,476.00	Professional		$863.31	$1,452.94	$2,476.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,613.98 / $2,303.66 / $6,608.00	Facility		$1,613.98	$2,303.66	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,157.72 / $2,187.29 / $7,127.82	Professional		$1,157.72	$2,187.29	$7,127.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,455.70 / $2,037.11 / $2,841.73	Facility		$1,455.70	$2,037.11	$2,841.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,455.70 / $2,037.11 / $2,841.73	Professional		$1,455.70	$2,037.11	$2,841.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,604.90 / $2,310.00	Professional		$7.00	$1,604.90	$2,310.00
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 $1,039.42 / $1,918.31 / $2,942.27	Professional		$1,039.42	$1,918.31	$2,942.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,796.30 / $1,796.30 / $2,113.19	Professional		$1,796.30	$1,796.30	$2,113.19