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 $1,237.08 / $1,641.71 / $2,608.04	Professional		$1,237.08	$1,641.71	$2,608.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,452.67 / $2,778.69 / $3,137.83	Professional		$2,452.67	$2,778.69	$3,137.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,041.24 / $1,840.27 / $3,170.34	Professional		$1,041.24	$1,840.27	$3,170.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,669.13 / $2,747.31 / $6,608.00	Facility		$1,669.13	$2,747.31	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,442.13 / $2,647.02 / $8,473.45	Professional		$1,442.13	$2,647.02	$8,473.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,759.53 / $2,645.48 / $3,429.88	Facility		$1,759.53	$2,645.48	$3,429.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,822.00 / $2,452.67 / $3,429.88	Professional		$1,822.00	$2,452.67	$3,429.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,966.50 / $2,782.60	Professional		$6.00	$1,966.50	$2,782.60
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 $1,312.57 / $2,253.25 / $3,560.68	Professional		$1,312.57	$2,253.25	$3,560.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,162.69 / $2,162.69 / $2,544.40	Professional		$2,162.69	$2,162.69	$2,544.40