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 $1,128.34 / $1,794.17 / $1,794.17	Professional		$1,128.34	$1,794.17	$1,794.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,604.28 / $3,037.42 / $3,435.83	Professional		$2,604.28	$3,037.42	$3,435.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.74 / $1,867.71 / $3,321.97	Professional		$1,138.74	$1,867.71	$3,321.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $2,950.00 / $6,608.00	Facility		$2,126.00	$2,950.00	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,553.27 / $2,886.77 / $9,764.62	Professional		$1,553.27	$2,886.77	$9,764.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,914.94 / $2,684.84 / $3,747.94	Facility		$1,914.94	$2,684.84	$3,747.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,914.94 / $2,684.84 / $3,747.94	Professional		$1,914.94	$2,684.84	$3,747.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,114.60 / $3,043.90	Professional		$7.00	$2,114.60	$3,043.90
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 $1,371.81 / $2,121.82 / $3,883.18	Professional		$1,371.81	$2,121.82	$3,883.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,367.40 / $2,367.40 / $2,785.20	Professional		$2,367.40	$2,367.40	$2,785.20