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 $1,147.80 / $1,727.01 / $2,777.70	Professional		$1,147.80	$1,727.01	$2,777.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,498.44 / $3,045.90 / $3,461.25	Professional		$2,498.44	$3,045.90	$3,461.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,188.06 / $1,971.11 / $2,974.32	Professional		$1,188.06	$1,971.11	$2,974.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,030.42 / $2,925.18 / $6,608.00	Facility		$2,030.42	$2,925.18	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,375.25 / $2,821.90 / $9,895.07	Professional		$1,375.25	$2,821.90	$9,895.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,819.50 / $2,716.94 / $3,553.57	Facility		$1,819.50	$2,716.94	$3,553.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,776.78 / $2,716.94 / $3,553.57	Professional		$1,776.78	$2,716.94	$3,553.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $2,269.00 / $3,207.00	Professional		$9.00	$2,269.00	$3,207.00
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 $1,317.95 / $2,360.84 / $3,730.70	Professional		$1,317.95	$2,360.84	$3,730.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,509.90 / $2,509.90 / $2,952.80	Professional		$2,509.90	$2,509.90	$2,952.80