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 $1,122.75 / $1,399.89 / $5,423.65	Professional		$1,122.75	$1,399.89	$5,423.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,524.73 / $2,839.30 / $3,171.91	Professional		$2,524.73	$2,839.30	$3,171.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,068.99 / $1,868.55 / $3,561.10	Professional		$1,068.99	$1,868.55	$3,561.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,713.02 / $2,876.72 / $7,799.00	Facility		$1,713.02	$2,876.72	$7,799.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,392.09 / $2,690.68 / $8,553.12	Professional		$1,392.09	$2,690.68	$8,553.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,759.81 / $2,632.66 / $3,443.34	Facility		$1,759.81	$2,632.66	$3,443.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,759.81 / $2,524.73 / $3,443.34	Professional		$1,759.81	$2,524.73	$3,443.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,058.50 / $2,911.60	Professional		$6.00	$2,058.50	$2,911.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,341.00 / $7,091.00 / $10,320.00	Facility		$5,341.00	$7,091.00	$10,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,278.63 / $2,444.48 / $3,619.41	Professional		$1,278.63	$2,444.48	$3,619.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.00 / $2,187.00 / $2,573.00	Professional		$2,187.00	$2,187.00	$2,573.00