Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,960.00 / $11,611.47	Facility		$4,964.00	$6,960.00	$11,611.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $995.41 / $1,582.51 / $1,582.51	Professional		$995.41	$1,582.51	$1,582.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,367.52 / $2,678.74 / $3,031.67	Professional		$2,367.52	$2,678.74	$3,031.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,003.51 / $1,713.86 / $2,943.78	Professional		$1,003.51	$1,713.86	$2,943.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,916.74 / $2,678.74 / $6,608.00	Facility		$1,916.74	$2,678.74	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,376.44 / $2,544.46 / $10,018.90	Professional		$1,376.44	$2,544.46	$10,018.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,775.73 / $2,427.48 / $3,305.79	Facility		$1,775.73	$2,427.48	$3,305.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,775.73 / $2,367.52 / $3,305.79	Professional		$1,775.73	$2,367.52	$3,305.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,864.50 / $2,687.10	Professional		$6.00	$1,864.50	$2,687.10
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 $1,209.14 / $2,231.56 / $3,422.72	Professional		$1,209.14	$2,231.56	$3,422.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,087.60 / $2,087.60 / $2,456.00	Professional		$2,087.60	$2,087.60	$2,456.00