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 $1,196.82 / $2,146.06 / $2,146.06	Professional		$1,196.82	$2,146.06	$2,146.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,843.51 / $3,220.63 / $3,634.50	Professional		$2,843.51	$3,220.63	$3,634.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,208.39 / $2,133.94 / $3,571.21	Professional		$1,208.39	$2,133.94	$3,571.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,266.00 / $3,220.63 / $6,608.00	Facility		$2,266.00	$3,220.63	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,669.81 / $3,077.39 / $9,692.64	Professional		$1,669.81	$3,077.39	$9,692.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,041.25 / $2,880.64 / $3,979.45	Facility		$2,041.25	$2,880.64	$3,979.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.25 / $2,843.51 / $3,979.45	Professional		$2,041.25	$2,843.51	$3,979.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,263.90 / $3,224.70	Professional		$7.00	$2,263.90	$3,224.70
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 $1,462.40 / $2,619.60 / $4,254.55	Professional		$1,462.40	$2,619.60	$4,254.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,463.10 / $2,463.10 / $2,897.80	Professional		$2,463.10	$2,463.10	$2,897.80