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 $913.61 / $1,632.21 / $2,623.96	Professional		$913.61	$1,632.21	$2,623.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,963.16 / $2,670.71 / $3,197.23	Professional		$1,963.16	$2,670.71	$3,197.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,117.70 / $1,518.71 / $2,327.46	Professional		$1,117.70	$1,518.71	$2,327.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,580.84 / $2,513.60 / $6,608.00	Facility		$1,580.84	$2,513.60	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,179.00 / $2,566.11 / $8,833.41	Professional		$1,179.00	$2,566.11	$8,833.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,601.00 / $2,323.04 / $3,253.58	Facility		$1,601.00	$2,323.04	$3,253.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,344.82 / $2,323.04 / $3,253.58	Professional		$1,344.82	$2,323.04	$3,253.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,682.80 / $3,035.50	Professional		$11.00	$1,682.80	$3,035.50
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 $1,127.24 / $2,211.53 / $3,494.76	Professional		$1,127.24	$2,211.53	$3,494.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,371.30 / $2,371.30 / $2,789.70	Professional		$2,371.30	$2,371.30	$2,789.70