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 $956.95 / $1,540.73 / $1,540.73	Professional		$956.95	$1,540.73	$1,540.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,160.25 / $2,365.02 / $2,912.86	Professional		$2,160.25	$2,365.02	$2,912.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,003.05 / $1,595.27 / $2,675.13	Professional		$1,003.05	$1,595.27	$2,675.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,391.13 / $2,388.73 / $6,608.00	Facility		$1,391.13	$2,388.73	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,222.08 / $2,455.77 / $7,830.64	Professional		$1,222.08	$2,455.77	$7,830.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,666.01 / $2,254.44 / $3,124.32	Facility		$1,666.01	$2,254.44	$3,124.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,666.01 / $2,182.21 / $3,124.32	Professional		$1,666.01	$2,182.21	$3,124.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,776.00 / $2,733.80	Professional		$15.00	$1,776.00	$2,733.80
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 $1,167.00 / $2,188.55 / $3,303.41	Professional		$1,167.00	$2,188.55	$3,303.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,100.40 / $2,100.40 / $2,471.10	Professional		$2,100.40	$2,100.40	$2,471.10