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 $1,012.83 / $1,378.51 / $1,378.51	Professional		$1,012.83	$1,378.51	$1,378.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,115.26 / $2,115.26 / $2,644.07	Professional		$2,115.26	$2,115.26	$2,644.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $875.16 / $1,449.42 / $2,559.62	Professional		$875.16	$1,449.42	$2,559.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,464.29 / $2,336.11 / $6,608.00	Facility		$1,464.29	$2,336.11	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,196.82 / $2,218.61 / $7,031.68	Professional		$1,196.82	$2,218.61	$7,031.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,477.94 / $2,064.76 / $2,880.30	Facility		$1,477.94	$2,064.76	$2,880.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,477.94 / $2,064.76 / $2,880.30	Professional		$1,477.94	$2,064.76	$2,880.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,627.30 / $2,341.10	Professional		$6.00	$1,627.30	$2,341.10
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 $1,054.30 / $1,888.57 / $2,984.39	Professional		$1,054.30	$1,888.57	$2,984.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,820.60 / $1,820.60 / $2,141.90	Professional		$1,820.60	$1,820.60	$2,141.90