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 $2,237.31 / $3,405.09 / $13,129.60	Professional		$2,237.31	$3,405.09	$13,129.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,434.52 / $5,438.12 / $6,797.65	Professional		$2,434.52	$5,438.12	$6,797.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,370.88 / $3,842.19 / $7,856.93	Professional		$2,370.88	$3,842.19	$7,856.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,923.02 / $5,178.31 / $7,201.86	Facility		$2,923.02	$5,178.31	$7,201.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,883.73 / $5,497.83 / $18,414.96	Professional		$2,883.73	$5,497.83	$18,414.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,822.13 / $5,598.95 / $7,873.40	Facility		$3,822.13	$5,598.95	$7,873.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,822.13 / $5,598.95 / $7,481.66	Professional		$3,822.13	$5,598.95	$7,481.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,234.59 / $4,452.34 / $5,380.12	Professional		$2,234.59	$4,452.34	$5,380.12
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 $2,643.42 / $3,844.98 / $7,822.84	Professional		$2,643.42	$3,844.98	$7,822.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,900.23 / $4,937.00 / $5,808.20	Professional		$3,900.23	$4,937.00	$5,808.20