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 $1,229.44 / $1,951.34 / $1,951.34	Professional		$1,229.44	$1,951.34	$1,951.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,993.91 / $3,443.29 / $3,912.83	Professional		$2,993.91	$3,443.29	$3,912.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,343.78 / $2,230.35 / $3,570.63	Professional		$1,343.78	$2,230.35	$3,570.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,341.61 / $3,326.89 / $6,608.00	Facility		$2,341.61	$3,326.89	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,598.35 / $3,188.48 / $10,240.71	Professional		$1,598.35	$3,188.48	$10,240.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,082.85 / $3,080.17 / $4,028.65	Facility		$2,082.85	$3,080.17	$4,028.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,082.85 / $3,080.17 / $4,028.65	Professional		$2,082.85	$3,080.17	$4,028.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,581.19 / $3,620.50	Professional		$11.00	$2,581.19	$3,620.50
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 $1,559.65 / $2,939.59 / $4,230.95	Professional		$1,559.65	$2,939.59	$4,230.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,837.20 / $2,837.20 / $3,337.90	Professional		$2,837.20	$2,837.20	$3,337.90