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 $1,435.59 / $1,828.39 / $2,900.54	Professional		$1,435.59	$1,828.39	$2,900.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,723.78 / $3,097.64 / $3,509.85	Professional		$2,723.78	$3,097.64	$3,509.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,160.31 / $1,958.27 / $3,359.76	Professional		$1,160.31	$1,958.27	$3,359.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,956.13 / $2,950.00 / $6,608.00	Facility		$1,956.13	$2,950.00	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,570.94 / $2,935.61 / $21,953.02	Professional		$1,570.94	$2,935.61	$21,953.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,944.70 / $2,739.42 / $3,820.94	Facility		$1,944.70	$2,739.42	$3,820.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,944.70 / $2,739.42 / $3,820.94	Professional		$1,944.70	$2,739.42	$3,820.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,160.19 / $3,108.30	Professional		$6.00	$2,160.19	$3,108.30
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 $1,431.60 / $2,498.90 / $3,948.87	Professional		$1,431.60	$2,498.90	$3,948.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,415.50 / $2,415.50 / $2,841.80	Professional		$2,415.50	$2,415.50	$2,841.80