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 $1,004.49 / $1,800.94 / $1,800.94	Professional		$1,004.49	$1,800.94	$1,800.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,386.44 / $2,702.54 / $3,054.07	Professional		$2,386.44	$2,702.54	$3,054.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.72 / $1,727.74 / $3,002.58	Professional		$1,012.72	$1,727.74	$3,002.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,500.31 / $2,526.19 / $6,608.00	Facility		$1,500.31	$2,526.19	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,403.93 / $2,573.00 / $8,134.08	Professional		$1,403.93	$2,573.00	$8,134.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,736.95 / $2,411.31 / $3,336.02	Facility		$1,736.95	$2,411.31	$3,336.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,736.95 / $2,386.44 / $3,336.02	Professional		$1,736.95	$2,386.44	$3,336.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,885.40 / $2,708.00	Professional		$6.00	$1,885.40	$2,708.00
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 $1,274.80 / $2,191.48 / $3,463.09	Professional		$1,274.80	$2,191.48	$3,463.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,067.19 / $2,067.19 / $2,432.00	Professional		$2,067.19	$2,067.19	$2,432.00