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 $1,002.98 / $1,319.44 / $1,319.44	Professional		$1,002.98	$1,319.44	$1,319.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,163.58 / $2,673.83 / $3,034.59	Professional		$2,163.58	$2,673.83	$3,034.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $991.82 / $1,537.22 / $2,571.96	Professional		$991.82	$1,537.22	$2,571.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,782.05 / $2,494.59 / $6,608.00	Facility		$1,782.05	$2,494.59	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,217.48 / $2,455.26 / $8,054.08	Professional		$1,217.48	$2,455.26	$8,054.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,559.78 / $2,362.42 / $3,127.33	Facility		$1,559.78	$2,362.42	$3,127.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,559.00 / $2,362.42 / $3,127.33	Professional		$1,559.00	$2,362.42	$3,127.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,896.20 / $2,760.60	Professional		$6.00	$1,896.20	$2,760.60
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 $1,166.76 / $2,153.32 / $3,302.73	Professional		$1,166.76	$2,153.32	$3,302.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,046.40 / $2,046.40 / $2,407.60	Professional		$2,046.40	$2,046.40	$2,407.60