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 $1,138.19 / $2,040.57 / $2,040.57	Professional		$1,138.19	$2,040.57	$2,040.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,705.22 / $3,062.71 / $3,460.18	Professional		$2,705.22	$3,062.71	$3,460.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.24 / $1,960.53 / $3,358.10	Professional		$1,148.24	$1,960.53	$3,358.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,261.64 / $3,223.16 / $10,061.00	Facility		$2,261.64	$3,223.16	$10,061.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,542.30 / $2,915.91 / $12,343.06	Professional		$1,542.30	$2,915.91	$12,343.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,932.08 / $2,834.57 / $3,782.36	Facility		$1,932.08	$2,834.57	$3,782.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,932.08 / $2,705.22 / $3,782.36	Professional		$1,932.08	$2,705.22	$3,782.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,232.40 / $3,069.50	Professional		$6.00	$2,232.40	$3,069.50
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,385.66 / $2,735.17 / $3,922.38	Professional		$1,385.66	$2,735.17	$3,922.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,343.40 / $2,343.40 / $2,756.90	Professional		$2,343.40	$2,343.40	$2,756.90