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 $2,480.64 / $3,784.84 / $14,571.90	Professional		$2,480.64	$3,784.84	$14,571.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,096.50 / $5,946.09 / $7,544.62	Professional		$2,096.50	$5,946.09	$7,544.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,619.17 / $4,107.55 / $8,961.87	Professional		$2,619.17	$4,107.55	$8,961.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,971.67 / $5,167.97 / $7,759.36	Facility		$2,971.67	$5,167.97	$7,759.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,932.27 / $5,998.51 / $20,305.84	Professional		$2,932.27	$5,998.51	$20,305.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,259.42 / $6,157.15 / $8,326.18	Facility		$4,259.42	$6,157.15	$8,326.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,286.59 / $5,998.51 / $7,544.62	Professional		$3,286.59	$5,998.51	$7,544.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,374.37 / $5,051.89 / $5,944.92	Professional		$2,374.37	$5,051.89	$5,944.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,966.00 / $6,110.41 / $7,407.10	Facility		$1,966.00	$6,110.41	$7,407.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,945.33 / $4,860.59 / $8,716.29	Professional		$2,945.33	$4,860.59	$8,716.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,289.07 / $5,429.20 / $6,387.30	Professional		$4,289.07	$5,429.20	$6,387.30