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 $1,243.38 / $2,001.89 / $2,001.89	Professional		$1,243.38	$2,001.89	$2,001.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,733.72 / $3,372.20 / $3,783.50	Professional		$2,733.72	$3,372.20	$3,783.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,302.84 / $2,054.48 / $3,355.72	Professional		$1,302.84	$2,054.48	$3,355.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,163.00 / $3,130.88 / $6,608.00	Facility		$2,163.00	$3,130.88	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,578.85 / $3,184.02 / $11,296.85	Professional		$1,578.85	$3,184.02	$11,296.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,054.39 / $3,094.58 / $4,091.30	Facility		$2,054.39	$3,094.58	$4,091.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,054.39 / $3,094.58 / $4,033.19	Professional		$2,054.39	$3,094.58	$4,033.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,300.40 / $3,551.00	Professional		$6.00	$2,300.40	$3,551.00
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 $1,513.07 / $2,811.40 / $4,283.03	Professional		$1,513.07	$2,811.40	$4,283.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,728.70 / $2,728.70 / $3,210.30	Professional		$2,728.70	$2,728.70	$3,210.30