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 $2,073.10 / $3,346.78 / $3,346.78	Professional		$2,073.10	$3,346.78	$3,346.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,644.74 / $5,553.35 / $6,305.21	Professional		$4,644.74	$5,553.35	$6,305.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,189.17 / $3,453.01 / $5,976.17	Professional		$2,189.17	$3,453.01	$5,976.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,653.95 / $5,154.04 / $6,804.29	Facility		$2,653.95	$5,154.04	$6,804.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,685.30 / $5,415.36 / $16,968.24	Professional		$2,685.30	$5,415.36	$16,968.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,576.98 / $5,146.25 / $6,964.59	Facility		$3,576.98	$5,146.25	$6,964.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,113.54 / $5,146.25 / $6,305.21	Professional		$3,113.54	$5,146.25	$6,305.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,367.91 / $3,843.11 / $4,834.89	Professional		$2,367.91	$3,843.11	$4,834.89
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 $2,464.80 / $4,609.77 / $7,284.55	Professional		$2,464.80	$4,609.77	$7,284.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,357.50 / $4,357.50 / $5,126.50	Professional		$4,357.50	$4,357.50	$5,126.50