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 $1,497.80 / $1,987.46 / $2,153.81	Professional		$1,497.80	$1,987.46	$2,153.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,079.00 / $3,439.32 / $3,921.31	Professional		$3,079.00	$3,439.32	$3,921.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,322.88 / $2,232.34 / $3,806.88	Professional		$1,322.88	$2,232.34	$3,806.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,946.01 / $3,264.78 / $6,608.00	Facility		$1,946.01	$3,264.78	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,676.78 / $3,184.12 / $16,192.37	Professional		$1,676.78	$3,184.12	$16,192.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,123.69 / $3,168.67 / $4,144.39	Facility		$2,123.69	$3,168.67	$4,144.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,155.00 / $3,150.63 / $4,144.39	Professional		$2,155.00	$3,150.63	$4,144.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,623.40 / $3,571.40	Professional		$11.00	$2,623.40	$3,571.40
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 $1,578.90 / $2,768.08 / $4,786.28	Professional		$1,578.90	$2,768.08	$4,786.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,778.10 / $2,778.10 / $3,268.40	Professional		$2,778.10	$2,778.10	$3,268.40