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 $1,180.55 / $1,877.45 / $1,877.45	Professional		$1,180.55	$1,877.45	$1,877.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,804.71 / $3,176.12 / $3,587.76	Professional		$2,804.71	$3,176.12	$3,587.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,190.83 / $2,012.48 / $3,498.02	Professional		$1,190.83	$2,012.48	$3,498.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,223.00 / $3,034.74 / $6,608.00	Facility		$2,223.00	$3,034.74	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,635.59 / $3,045.13 / $15,207.00	Professional		$1,635.59	$3,045.13	$15,207.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,017.06 / $2,804.92 / $3,924.17	Facility		$2,017.06	$2,804.92	$3,924.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,017.06 / $2,804.92 / $3,924.17	Professional		$2,017.06	$2,804.92	$3,924.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,231.40 / $3,183.60	Professional		$6.00	$2,231.40	$3,183.60
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 $1,447.07 / $2,592.14 / $4,096.21	Professional		$1,447.07	$2,592.14	$4,096.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,473.30 / $2,473.30 / $2,909.80	Professional		$2,473.30	$2,473.30	$2,909.80