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 $1,050.59 / $1,670.71 / $1,670.71	Professional		$1,050.59	$1,670.71	$1,670.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,497.07 / $2,827.67 / $3,194.31	Professional		$2,497.07	$2,827.67	$3,194.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,060.22 / $1,822.59 / $3,120.96	Professional		$1,060.22	$1,822.59	$3,120.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,937.00 / $2,823.50 / $6,608.00	Facility		$1,937.00	$2,823.50	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,459.29 / $2,694.09 / $11,088.82	Professional		$1,459.29	$2,694.09	$11,088.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,782.49 / $2,576.88 / $3,489.31	Facility		$1,782.49	$2,576.88	$3,489.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,803.00 / $2,497.07 / $3,489.31	Professional		$1,803.00	$2,497.07	$3,489.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,970.60 / $2,830.60	Professional		$7.00	$1,970.60	$2,830.60
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 $1,335.91 / $2,566.17 / $3,624.00	Professional		$1,335.91	$2,566.17	$3,624.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,201.80 / $2,201.80 / $2,590.40	Professional		$2,201.80	$2,201.80	$2,590.40