Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,098.00 / $11,100.08	Facility		$4,964.00	$6,098.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,046.78 / $1,664.53 / $1,664.53	Professional		$1,046.78	$1,664.53	$1,664.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,487.60 / $2,818.51 / $3,182.62	Professional		$2,487.60	$2,818.51	$3,182.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,056.19 / $1,802.37 / $3,101.25	Professional		$1,056.19	$1,802.37	$3,101.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,767.05 / $2,813.06 / $6,608.00	Facility		$1,767.05	$2,813.06	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,450.08 / $2,685.16 / $8,483.04	Professional		$1,450.08	$2,685.16	$8,483.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,796.24 / $2,517.13 / $3,477.86	Facility		$1,796.24	$2,517.13	$3,477.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,796.24 / $2,487.60 / $3,477.86	Professional		$1,796.24	$2,487.60	$3,477.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,964.00 / $2,821.30	Professional		$7.00	$1,964.00	$2,821.30
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 $1,276.01 / $2,356.92 / $3,611.98	Professional		$1,276.01	$2,356.92	$3,611.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,193.50 / $2,193.50 / $2,580.60	Professional		$2,193.50	$2,193.50	$2,580.60