Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,537.60 / $3,875.14 / $14,522.00	Professional		$2,537.60	$3,875.14	$14,522.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,323.69 / $6,148.66 / $7,685.82	Professional		$2,323.69	$6,148.66	$7,685.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,477.78 / $3,852.77 / $8,590.78	Professional		$2,477.78	$3,852.77	$8,590.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,085.79 / $5,244.00 / $7,704.35	Facility		$3,085.79	$5,244.00	$7,704.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,013.72 / $5,953.37 / $20,261.75	Professional		$3,013.72	$5,953.37	$20,261.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,292.30 / $5,953.37 / $8,343.51	Facility		$4,292.30	$5,953.37	$8,343.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,476.29 / $5,953.37 / $8,104.88	Professional		$3,476.29	$5,953.37	$8,104.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $5,069.20 / $7,085.60	Professional		$7.00	$5,069.20	$7,085.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $5,847.00 / $7,856.00	Facility		$1,321.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,848.91 / $4,282.30 / $8,530.94	Professional		$2,848.91	$4,282.30	$8,530.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,147.10 / $5,249.50 / $6,175.90	Professional		$4,147.10	$5,249.50	$6,175.90