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 $1,004.96 / $1,801.32 / $1,801.32	Professional		$1,004.96	$1,801.32	$1,801.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,327.92 / $2,704.33 / $3,060.89	Professional		$2,327.92	$2,704.33	$3,060.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.88 / $1,669.52 / $2,936.83	Professional		$1,012.88	$1,669.52	$2,936.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,435.03 / $2,521.34 / $6,608.00	Facility		$1,435.03	$2,521.34	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,373.19 / $2,566.23 / $8,139.92	Professional		$1,373.19	$2,566.23	$8,139.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,704.45 / $2,389.37 / $3,336.02	Facility		$1,704.45	$2,389.37	$3,336.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,704.45 / $2,389.37 / $3,336.02	Professional		$1,704.45	$2,389.37	$3,336.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,882.80 / $2,711.60	Professional		$6.00	$1,882.80	$2,711.60
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 $1,221.20 / $1,976.02 / $3,456.84	Professional		$1,221.20	$1,976.02	$3,456.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,069.80 / $2,069.80 / $2,435.00	Professional		$2,069.80	$2,069.80	$2,435.00