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 $1,094.53 / $1,745.39 / $1,745.39	Professional		$1,094.53	$1,745.39	$1,745.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,582.21 / $2,967.31 / $3,301.44	Professional		$2,582.21	$2,967.31	$3,301.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.63 / $1,937.22 / $3,218.62	Professional		$1,096.63	$1,937.22	$3,218.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,070.94 / $2,949.71 / $6,608.00	Facility		$2,070.94	$2,949.71	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,504.96 / $2,807.78 / $8,934.95	Professional		$1,504.96	$2,807.78	$8,934.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,859.18 / $2,599.27 / $3,654.52	Facility		$1,859.18	$2,599.27	$3,654.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,859.18 / $2,582.21 / $3,654.52	Professional		$1,859.18	$2,582.21	$3,654.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,065.10 / $2,972.60	Professional		$7.00	$2,065.10	$2,972.60
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 $1,355.20 / $2,465.41 / $3,776.93	Professional		$1,355.20	$2,465.41	$3,776.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,276.90 / $2,276.90 / $2,678.70	Professional		$2,276.90	$2,276.90	$2,678.70