Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,960.00 / $11,611.47	Facility		$4,964.00	$6,960.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,114.67 / $1,772.55 / $1,772.55	Professional		$1,114.67	$1,772.55	$1,772.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,451.14 / $2,999.96 / $3,390.06	Professional		$2,451.14	$2,999.96	$3,390.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,123.82 / $1,907.19 / $3,516.35	Professional		$1,123.82	$1,907.19	$3,516.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,642.12 / $2,806.17 / $6,608.00	Facility		$1,642.12	$2,806.17	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,510.66 / $2,856.08 / $10,092.95	Professional		$1,510.66	$2,856.08	$10,092.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,884.90 / $2,648.45 / $3,705.20	Facility		$1,884.90	$2,648.45	$3,705.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,884.90 / $2,648.45 / $3,705.20	Professional		$1,884.90	$2,648.45	$3,705.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,097.10 / $3,007.80	Professional		$7.00	$2,097.10	$3,007.80
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 $1,416.24 / $2,644.98 / $3,841.91	Professional		$1,416.24	$2,644.98	$3,841.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,335.30 / $2,335.30 / $2,747.40	Professional		$2,335.30	$2,335.30	$2,747.40