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 $1,110.41 / $1,136.45 / $1,136.45	Professional		$1,110.41	$1,136.45	$1,136.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,655.30 / $3,016.07 / $3,365.71	Professional		$2,655.30	$3,016.07	$3,365.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,151.55 / $1,889.51 / $3,143.51	Professional		$1,151.55	$1,889.51	$3,143.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,920.60 / $2,785.87 / $6,608.00	Facility		$1,920.60	$2,785.87	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,438.49 / $2,825.54 / $9,554.94	Professional		$1,438.49	$2,825.54	$9,554.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,836.45 / $2,727.05 / $3,625.37	Facility		$1,836.45	$2,727.05	$3,625.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,836.45 / $2,727.05 / $3,625.37	Professional		$1,836.45	$2,727.05	$3,625.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $2,126.69 / $3,118.30	Professional		$10.00	$2,126.69	$3,118.30
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 $1,375.27 / $2,811.29 / $3,800.82	Professional		$1,375.27	$2,811.29	$3,800.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,362.30 / $2,362.30 / $2,779.10	Professional		$2,362.30	$2,362.30	$2,779.10