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 $1,122.22 / $1,784.36 / $1,784.36	Professional		$1,122.22	$1,784.36	$1,784.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,606.76 / $3,021.39 / $3,416.35	Professional		$2,606.76	$3,021.39	$3,416.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,131.94 / $2,001.97 / $3,290.68	Professional		$1,131.94	$2,001.97	$3,290.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,636.49 / $2,802.49 / $6,608.00	Facility		$1,636.49	$2,802.49	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,538.64 / $2,872.25 / $9,764.62	Professional		$1,538.64	$2,872.25	$9,764.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,906.32 / $2,668.84 / $3,729.18	Facility		$1,906.32	$2,668.84	$3,729.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,906.32 / $2,668.84 / $3,729.18	Professional		$1,906.32	$2,668.84	$3,729.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,152.19 / $3,028.80	Professional		$6.00	$2,152.19	$3,028.80
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 $1,402.00 / $2,519.03 / $3,863.65	Professional		$1,402.00	$2,519.03	$3,863.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,353.30 / $2,353.30 / $2,768.60	Professional		$2,353.30	$2,353.30	$2,768.60