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 $1,169.35 / $1,859.62 / $1,859.62	Professional		$1,169.35	$1,859.62	$1,859.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,759.87 / $3,146.24 / $3,554.64	Professional		$2,759.87	$3,146.24	$3,554.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,179.33 / $1,981.42 / $3,693.70	Professional		$1,179.33	$1,981.42	$3,693.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $357.64 / $2,846.50 / $3,915.00	Facility		$357.64	$2,846.50	$3,915.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,627.84 / $3,002.66 / $10,527.44	Professional		$1,627.84	$3,002.66	$10,527.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,992.36 / $2,778.01 / $3,886.64	Facility		$1,992.36	$2,778.01	$3,886.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,992.36 / $2,778.01 / $3,886.64	Professional		$1,992.36	$2,778.01	$3,886.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,200.00 / $3,153.40	Professional		$6.00	$2,200.00	$3,153.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,611.00 / $3,902.18 / $5,454.00	Facility		$1,611.00	$3,902.18	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,473.60 / $2,555.98 / $4,039.08	Professional		$1,473.60	$2,555.98	$4,039.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,449.60 / $2,449.60 / $2,881.80	Professional		$2,449.60	$2,449.60	$2,881.80