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 $1,052.85 / $1,667.89 / $1,667.89	Professional		$1,052.85	$1,667.89	$1,667.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,390.14 / $2,936.00 / $3,336.36	Professional		$2,390.14	$2,936.00	$3,336.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,145.47 / $1,896.54 / $2,841.23	Professional		$1,145.47	$1,896.54	$2,841.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $786.83 / $2,568.55 / $5,244.00	Facility		$786.83	$2,568.55	$5,244.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,323.19 / $2,725.33 / $9,567.99	Professional		$1,323.19	$2,725.33	$9,567.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,733.06 / $2,618.85 / $3,425.28	Facility		$1,733.06	$2,618.85	$3,425.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,725.28 / $2,618.85 / $3,425.28	Professional		$1,725.28	$2,618.85	$3,425.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $2,194.90 / $3,098.60	Professional		$9.00	$2,194.90	$3,098.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,268.06 / $2,317.19 / $3,589.49	Professional		$1,268.06	$2,317.19	$3,589.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,425.80 / $2,425.80 / $2,853.90	Professional		$2,425.80	$2,425.80	$2,853.90