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 $1,566.14 / $1,566.14 / $3,806.26	Professional		$1,566.14	$1,566.14	$3,806.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,342.05 / $2,651.28 / $3,031.40	Professional		$2,342.05	$2,651.28	$3,031.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $993.87 / $1,789.43 / $3,085.74	Professional		$993.87	$1,789.43	$3,085.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,627.48 / $2,646.78 / $6,608.00	Facility		$1,627.48	$2,646.78	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,391.82 / $2,523.60 / $8,118.48	Professional		$1,391.82	$2,523.60	$8,118.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,778.91 / $2,521.23 / $3,271.37	Facility		$1,778.91	$2,521.23	$3,271.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.91 / $2,342.05 / $3,271.37	Professional		$1,778.91	$2,342.05	$3,271.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,116.40 / $2,655.50	Professional		$6.00	$2,116.40	$2,655.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,199.23 / $2,450.60 / $3,394.66	Professional		$1,199.23	$2,450.60	$3,394.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,065.19 / $2,065.19 / $2,429.60	Professional		$2,065.19	$2,065.19	$2,429.60