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 $1,382.40 / $2,479.09 / $2,479.09	Professional		$1,382.40	$2,479.09	$2,479.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,283.81 / $3,719.63 / $4,194.47	Professional		$3,283.81	$3,719.63	$4,194.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,396.01 / $2,382.32 / $4,122.60	Professional		$1,396.01	$2,382.32	$4,122.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,172.23 / $3,635.77 / $6,608.00	Facility		$2,172.23	$3,635.77	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,927.63 / $3,548.56 / $12,894.00	Professional		$1,927.63	$3,548.56	$12,894.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,355.66 / $3,339.98 / $4,595.79	Facility		$2,355.66	$3,339.98	$4,595.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,395.00 / $3,283.81 / $4,595.79	Professional		$2,395.00	$3,283.81	$4,595.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $2,592.19 / $3,722.50	Professional		$8.00	$2,592.19	$3,722.50
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 $1,761.43 / $3,396.62 / $5,230.08	Professional		$1,761.43	$3,396.62	$5,230.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,844.60 / $2,844.60 / $3,346.60	Professional		$2,844.60	$2,844.60	$3,346.60