Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $12,765.09	Facility		$4,277.00	$6,066.00	$12,765.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,252.63 / $1,683.13 / $3,804.70	Professional		$1,252.63	$1,683.13	$3,804.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,503.42 / $2,848.48 / $3,217.68	Professional		$2,503.42	$2,848.48	$3,217.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,068.00 / $1,799.37 / $3,133.27	Professional		$1,068.00	$1,799.37	$3,133.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,136.28 / $3,017.54 / $10,320.00	Facility		$2,136.28	$3,017.54	$10,320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,465.04 / $2,725.07 / $10,108.39	Professional		$1,465.04	$2,725.07	$10,108.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,802.53 / $2,515.28 / $3,517.49	Facility		$1,802.53	$2,515.28	$3,517.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,802.53 / $2,515.28 / $3,517.49	Professional		$1,802.53	$2,515.28	$3,517.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,990.80 / $2,853.10	Professional		$7.00	$1,990.80	$2,853.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,294.97 / $2,319.67 / $3,665.66	Professional		$1,294.97	$2,319.67	$3,665.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,217.90 / $2,217.90 / $2,609.30	Professional		$2,217.90	$2,217.90	$2,609.30