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 $1,114.25 / $1,789.55 / $1,789.55	Professional		$1,114.25	$1,789.55	$1,789.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,605.51 / $3,084.11 / $3,450.44	Professional		$2,605.51	$3,084.11	$3,450.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,194.23 / $1,885.04 / $3,089.87	Professional		$1,194.23	$1,885.04	$3,089.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,746.80 / $2,868.38 / $6,608.00	Facility		$1,746.80	$2,868.38	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,467.39 / $2,849.60 / $9,303.68	Professional		$1,467.39	$2,849.60	$9,303.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,801.26 / $2,831.13 / $3,718.21	Facility		$1,801.26	$2,831.13	$3,718.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,846.00 / $2,831.13 / $3,718.21	Professional		$1,846.00	$2,831.13	$3,718.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,223.19 / $3,125.50	Professional		$7.00	$2,223.19	$3,125.50
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 $1,352.28 / $2,687.14 / $3,822.80	Professional		$1,352.28	$2,687.14	$3,822.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,496.40 / $2,496.40 / $2,936.90	Professional		$2,496.40	$2,496.40	$2,936.90