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 $1,184.67 / $1,563.89 / $1,563.89	Professional		$1,184.67	$1,563.89	$1,563.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,560.69 / $3,199.48 / $3,620.87	Professional		$2,560.69	$3,199.48	$3,620.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,198.82 / $2,008.51 / $3,054.40	Professional		$1,198.82	$2,008.51	$3,054.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,580.22 / $3,199.48 / $12,871.00	Facility		$1,580.22	$3,199.48	$12,871.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,463.66 / $2,951.72 / $10,596.79	Professional		$1,463.66	$2,951.72	$10,596.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,929.97 / $2,854.42 / $3,842.64	Facility		$1,929.97	$2,854.42	$3,842.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,911.00 / $2,854.42 / $3,779.22	Professional		$1,911.00	$2,854.42	$3,779.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,212.80 / $3,281.30	Professional		$7.00	$2,212.80	$3,281.30
United Facility/Professional Facility Modifier Low / Median / High Price $9,542.00 / $12,871.00 / $16,293.00	Facility		$9,542.00	$12,871.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,402.68 / $2,754.17 / $3,970.55	Professional		$1,402.68	$2,754.17	$3,970.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,472.60 / $2,472.60 / $2,908.90	Professional		$2,472.60	$2,472.60	$2,908.90