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 $1,114.10 / $1,414.15 / $2,573.98	Professional		$1,114.10	$1,414.15	$2,573.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,547.29 / $2,868.20 / $3,211.84	Professional		$2,547.29	$2,868.20	$3,211.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,075.83 / $1,875.84 / $3,137.32	Professional		$1,075.83	$1,875.84	$3,137.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,629.74 / $2,917.24 / $8,165.52	Facility		$1,629.74	$2,917.24	$8,165.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,381.45 / $2,694.26 / $9,976.18	Professional		$1,381.45	$2,694.26	$9,976.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,001.00 / $2,644.10 / $3,436.10	Facility		$2,001.00	$2,644.10	$3,436.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,877.00 / $2,547.29 / $3,436.10	Professional		$1,877.00	$2,547.29	$3,436.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $2,048.90 / $2,953.00	Professional		$3.00	$2,048.90	$2,953.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $5,732.00 / $8,342.00	Facility		$4,217.00	$5,732.00	$8,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,280.33 / $2,293.46 / $3,624.22	Professional		$1,280.33	$2,293.46	$3,624.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,206.60 / $2,206.60 / $2,596.00	Professional		$2,206.60	$2,206.60	$2,596.00