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 $1,087.81 / $1,725.79 / $1,725.79	Professional		$1,087.81	$1,725.79	$1,725.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,561.94 / $3,043.79 / $3,458.85	Professional		$2,561.94	$3,043.79	$3,458.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,187.16 / $1,969.50 / $3,045.50	Professional		$1,187.16	$1,969.50	$3,045.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,988.15 / $3,368.48 / $15,584.83	Facility		$1,988.15	$3,368.48	$15,584.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,374.82 / $2,819.93 / $13,288.09	Professional		$1,374.82	$2,819.93	$13,288.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,828.95 / $2,735.54 / $3,577.91	Facility		$1,828.95	$2,735.54	$3,577.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,828.95 / $2,735.54 / $3,577.91	Professional		$1,828.95	$2,735.54	$3,577.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,268.50 / $3,205.20	Professional		$11.00	$2,268.50	$3,205.20
United Facility/Professional Facility Modifier Low / Median / High Price $7,221.00 / $8,523.00 / $11,869.99	Facility		$7,221.00	$8,523.00	$11,869.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,311.81 / $2,407.19 / $3,729.53	Professional		$1,311.81	$2,407.19	$3,729.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,508.00 / $2,508.00 / $2,950.50	Professional		$2,508.00	$2,508.00	$2,950.50