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 $1,272.84 / $2,018.66 / $2,018.66	Professional		$1,272.84	$2,018.66	$2,018.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,588.08 / $3,318.53 / $3,919.85	Professional		$2,588.08	$3,318.53	$3,919.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,387.35 / $2,145.29 / $3,151.18	Professional		$1,387.35	$2,145.29	$3,151.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $3,108.74 / $6,608.00	Facility		$2,126.00	$3,108.74	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,604.47 / $3,228.20 / $10,601.75	Professional		$1,604.47	$3,228.20	$10,601.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,789.91 / $2,886.50 / $4,172.59	Facility		$1,789.91	$2,886.50	$4,172.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,789.91 / $2,886.50 / $4,043.74	Professional		$1,789.91	$2,886.50	$4,043.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,896.20 / $3,752.00	Professional		$11.00	$1,896.20	$3,752.00
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 $1,470.77 / $2,480.51 / $4,352.53	Professional		$1,470.77	$2,480.51	$4,352.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,932.80 / $2,932.80 / $3,450.40	Professional		$2,932.80	$2,932.80	$3,450.40