Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,563.55 / $6,837.00 / $30,087.01	Facility		$2,563.55	$6,837.00	$30,087.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,160.20 / $1,349.24 / $5,756.10	Professional		$1,160.20	$1,349.24	$5,756.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,435.19 / $2,737.52 / $3,056.02	Professional		$2,435.19	$2,737.52	$3,056.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,032.40 / $1,806.09 / $3,608.74	Professional		$1,032.40	$1,806.09	$3,608.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,723.16 / $2,997.67 / $25,336.55	Facility		$1,723.16	$2,997.67	$25,336.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,364.09 / $2,606.03 / $8,246.08	Professional		$1,364.09	$2,606.03	$8,246.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,955.00 / $3,346.31 / $8,854.25	Facility		$1,955.00	$3,346.31	$8,854.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,712.52 / $2,435.19 / $3,346.31	Professional		$1,712.52	$2,435.19	$3,346.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $2,008.10 / $2,798.10	Professional		$6.00	$2,008.10	$2,798.10
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,238.40 / $2,285.55 / $3,505.53	Professional		$1,238.40	$2,285.55	$3,505.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,109.50 / $2,109.50 / $2,481.69	Professional		$2,109.50	$2,109.50	$2,481.69