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 $1,070.06 / $1,697.41 / $2,670.91	Professional		$1,070.06	$1,697.41	$2,670.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,547.00 / $2,993.06 / $3,401.21	Professional		$2,547.00	$2,993.06	$3,401.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,167.20 / $1,935.87 / $3,030.03	Professional		$1,167.20	$1,935.87	$3,030.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,003.40 / $2,741.08 / $6,608.00	Facility		$2,003.40	$2,741.08	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,337.71 / $2,660.29 / $11,237.42	Professional		$1,337.71	$2,660.29	$11,237.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,746.21 / $2,583.31 / $3,401.21	Facility		$1,746.21	$2,583.31	$3,401.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,746.21 / $2,583.31 / $3,401.21	Professional		$1,746.21	$2,583.31	$3,401.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $2,230.40 / $3,152.10	Professional		$9.00	$2,230.40	$3,152.10
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 $1,234.43 / $2,165.02 / $3,421.26	Professional		$1,234.43	$2,165.02	$3,421.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,466.19 / $2,466.19 / $2,901.50	Professional		$2,466.19	$2,466.19	$2,901.50