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 $1,162.80 / $1,844.65 / $1,844.65	Professional		$1,162.80	$1,844.65	$1,844.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,774.81 / $3,253.05 / $3,696.65	Professional		$2,774.81	$3,253.05	$3,696.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,269.58 / $2,106.05 / $3,299.30	Professional		$1,269.58	$2,106.05	$3,299.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,677.00 / $3,010.05 / $6,608.00	Facility		$1,677.00	$3,010.05	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,477.79 / $2,964.35 / $9,687.12	Professional		$1,477.79	$2,964.35	$9,687.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,808.89 / $2,900.31 / $3,793.42	Facility		$1,808.89	$2,900.31	$3,793.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,837.00 / $2,900.31 / $3,793.42	Professional		$1,837.00	$2,900.31	$3,793.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,427.50 / $3,425.00	Professional		$15.00	$2,427.50	$3,425.00
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 $1,452.95 / $2,846.53 / $4,248.83	Professional		$1,452.95	$2,846.53	$4,248.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,682.50 / $2,682.50 / $3,155.90	Professional		$2,682.50	$2,682.50	$3,155.90