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 $1,085.06 / $1,725.78 / $1,725.78	Professional		$1,085.06	$1,725.78	$1,725.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,579.31 / $2,919.97 / $3,297.54	Professional		$2,579.31	$2,919.97	$3,297.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,095.38 / $1,870.07 / $3,230.57	Professional		$1,095.38	$1,870.07	$3,230.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,889.73 / $2,916.57 / $6,608.00	Facility		$1,889.73	$2,916.57	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,510.54 / $2,782.73 / $9,186.74	Professional		$1,510.54	$2,782.73	$9,186.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,909.35 / $2,605.51 / $3,606.11	Facility		$1,909.35	$2,605.51	$3,606.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,909.35 / $2,579.31 / $3,606.11	Professional		$1,909.35	$2,579.31	$3,606.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,035.50 / $2,924.20	Professional		$7.00	$2,035.50	$2,924.20
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 $1,322.37 / $2,579.15 / $3,743.24	Professional		$1,322.37	$2,579.15	$3,743.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,274.40 / $2,274.40 / $2,675.70	Professional		$2,274.40	$2,274.40	$2,675.70