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 $1,093.70 / $1,960.85 / $1,960.85	Professional		$1,093.70	$1,960.85	$1,960.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,595.55 / $2,945.07 / $3,327.73	Professional		$2,595.55	$2,945.07	$3,327.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,103.83 / $1,868.33 / $3,240.54	Professional		$1,103.83	$1,868.33	$3,240.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,691.64 / $2,764.88 / $6,608.00	Facility		$1,691.64	$2,764.88	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,515.21 / $2,800.00 / $10,316.00	Professional		$1,515.21	$2,800.00	$10,316.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,858.06 / $2,601.14 / $3,635.31	Facility		$1,858.06	$2,601.14	$3,635.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,877.00 / $2,601.14 / $3,635.31	Professional		$1,877.00	$2,601.14	$3,635.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,051.19 / $2,950.40	Professional		$6.00	$2,051.19	$2,950.40
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 $1,331.37 / $2,384.88 / $3,768.69	Professional		$1,331.37	$2,384.88	$3,768.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,253.19 / $2,253.19 / $2,650.80	Professional		$2,253.19	$2,253.19	$2,650.80