Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,981.07 / $6,760.83	Facility		$2,884.03	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $4,168.69	Professional		$1,698.24	$2,137.96	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,168.69 / $5,128.61	Professional		$2,691.53	$4,168.69	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $6,918.31	Professional		$1,445.44	$2,137.96	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,548.13 / $4,897.79	Facility		$1,445.44	$3,548.13	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $10,000.00	Professional		$1,698.24	$3,548.13	$10,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,265.80 / $4,897.79	Professional		$2,630.27	$4,265.80	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,073.80 / $4,897.79	Professional		$3,715.35	$4,073.80	$4,897.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,090.30 / $4,073.80	Professional		$1,737.80	$3,090.30	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $5,248.07	Facility		$1,819.70	$3,890.45	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $5,370.32	Professional		$1,659.59	$2,691.53	$5,370.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $3,801.89	Professional		$2,570.40	$3,235.94	$3,801.89