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 $1,106.18 / $1,759.46 / $1,759.46	Professional		$1,106.18	$1,759.46	$1,759.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,473.56 / $2,976.79 / $3,360.84	Professional		$2,473.56	$2,976.79	$3,360.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.29 / $1,868.11 / $3,189.86	Professional		$1,116.29	$1,868.11	$3,189.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,789.55 / $2,950.00 / $6,608.00	Facility		$1,789.55	$2,950.00	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,495.71 / $2,838.68 / $9,503.76	Professional		$1,495.71	$2,838.68	$9,503.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,883.25 / $2,628.07 / $3,675.99	Facility		$1,883.25	$2,628.07	$3,675.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,883.25 / $2,628.07 / $3,648.34	Professional		$1,883.25	$2,628.07	$3,648.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,075.00 / $2,980.50	Professional		$7.00	$2,075.00	$2,980.50
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 $1,348.96 / $2,416.40 / $3,818.50	Professional		$1,348.96	$2,416.40	$3,818.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,317.40 / $2,317.40 / $2,726.30	Professional		$2,317.40	$2,317.40	$2,726.30