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 $1,451.71 / $2,192.03 / $3,083.91	Professional		$1,451.71	$2,192.03	$3,083.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,906.10 / $3,289.79 / $3,715.33	Professional		$2,906.10	$3,289.79	$3,715.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,233.95 / $2,180.00 / $3,616.85	Professional		$1,233.95	$2,180.00	$3,616.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,839.09 / $3,072.68 / $6,608.00	Facility		$1,839.09	$3,072.68	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,691.16 / $3,125.54 / $9,901.20	Professional		$1,691.16	$3,125.54	$9,901.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,077.67 / $2,935.38 / $4,064.96	Facility		$2,077.67	$2,935.38	$4,064.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,077.67 / $2,906.10 / $4,064.96	Professional		$2,077.67	$2,906.10	$4,064.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,478.10 / $3,297.40	Professional		$6.00	$2,478.10	$3,297.40
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 $1,555.00 / $2,669.41 / $4,218.32	Professional		$1,555.00	$2,669.41	$4,218.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,517.40 / $2,517.40 / $2,961.60	Professional		$2,517.40	$2,517.40	$2,961.60