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 $1,386.92 / $1,831.65 / $1,831.65	Professional		$1,386.92	$1,831.65	$1,831.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,097.22 / $3,746.39 / $4,233.43	Professional		$3,097.22	$3,746.39	$4,233.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,406.52 / $2,385.85 / $3,675.86	Professional		$1,406.52	$2,385.85	$3,675.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,913.37 / $3,746.39 / $13,970.00	Facility		$1,913.37	$3,746.39	$13,970.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,701.06 / $3,430.47 / $11,648.54	Professional		$1,701.06	$3,430.47	$11,648.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,261.34 / $3,343.50 / $4,472.47	Facility		$2,261.34	$3,343.50	$4,472.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,261.34 / $3,343.50 / $4,472.47	Professional		$2,261.34	$3,343.50	$4,472.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $2,571.30 / $3,834.30	Professional		$7.00	$2,571.30	$3,834.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,707.00 / $10,398.00 / $16,293.00	Facility		$5,707.00	$10,398.00	$16,293.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,630.18 / $2,920.15 / $4,614.55	Professional		$1,630.18	$2,920.15	$4,614.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,896.30 / $2,896.30 / $3,407.40	Professional		$2,896.30	$2,896.30	$3,407.40