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 $1,056.00 / $1,679.27 / $1,679.27	Professional		$1,056.00	$1,679.27	$1,679.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,510.17 / $2,842.80 / $3,210.87	Professional		$2,510.17	$2,842.80	$3,210.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.82 / $1,865.61 / $3,133.60	Professional		$1,065.82	$1,865.61	$3,133.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,767.05 / $2,837.97 / $6,608.00	Facility		$1,767.05	$2,837.97	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,465.20 / $2,708.49 / $8,556.08	Professional		$1,465.20	$2,708.49	$8,556.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,813.33 / $2,519.63 / $3,507.06	Facility		$1,813.33	$2,519.63	$3,507.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,813.33 / $2,510.17 / $3,507.06	Professional		$1,813.33	$2,510.17	$3,507.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,980.60 / $2,844.90	Professional		$7.00	$1,980.60	$2,844.90
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 $1,343.05 / $2,579.78 / $3,643.36	Professional		$1,343.05	$2,579.78	$3,643.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,213.40 / $2,213.40 / $2,604.00	Professional		$2,213.40	$2,213.40	$2,604.00