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 $2,661.53 / $4,622.41 / $17,823.09	Professional		$2,661.53	$4,622.41	$17,823.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,937.54 / $7,100.72 / $8,875.90	Professional		$2,937.54	$7,100.72	$8,875.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,996.97 / $4,581.42 / $9,131.44	Professional		$2,996.97	$4,581.42	$9,131.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,401.28 / $5,693.79 / $8,168.36	Facility		$3,401.28	$5,693.79	$8,168.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,568.92 / $6,650.50 / $24,628.96	Professional		$3,568.92	$6,650.50	$24,628.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,021.60 / $6,650.50 / $10,124.68	Facility		$4,021.60	$6,650.50	$10,124.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,083.89 / $6,650.50 / $9,182.78	Professional		$4,083.89	$6,650.50	$9,182.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,834.85 / $5,060.21 / $6,917.73	Professional		$2,834.85	$5,060.21	$6,917.73
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 $3,224.52 / $4,905.89 / $9,845.37	Professional		$3,224.52	$4,905.89	$9,845.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,128.60 / $6,491.90 / $7,637.60	Professional		$5,128.60	$6,491.90	$7,637.60