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 $1,070.33 / $1,414.91 / $2,596.02	Professional		$1,070.33	$1,414.91	$2,596.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,545.78 / $2,958.82 / $3,341.37	Professional		$2,545.78	$2,958.82	$3,341.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,110.08 / $1,806.12 / $3,021.78	Professional		$1,110.08	$1,806.12	$3,021.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,934.75 / $3,097.41 / $7,799.00	Facility		$1,934.75	$3,097.41	$7,799.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,338.50 / $2,695.73 / $9,922.94	Professional		$1,338.50	$2,695.73	$9,922.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,757.98 / $2,638.98 / $3,494.61	Facility		$1,757.98	$2,638.98	$3,494.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,757.98 / $2,638.98 / $3,494.61	Professional		$1,757.98	$2,638.98	$3,494.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $2,028.50 / $2,953.30	Professional		$8.00	$2,028.50	$2,953.30
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 $1,333.74 / $1,901.59 / $3,626.21	Professional		$1,333.74	$1,901.59	$3,626.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,286.00 / $2,286.00 / $2,689.40	Professional		$2,286.00	$2,286.00	$2,689.40