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 $3,301.61 / $5,034.97 / $19,423.90	Professional		$3,301.61	$5,034.97	$19,423.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,441.46 / $7,900.85 / $10,046.29	Professional		$2,441.46	$7,900.85	$10,046.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,734.35 / $4,939.20 / $11,844.47	Professional		$2,734.35	$4,939.20	$11,844.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,678.01 / $6,572.00 / $10,046.29	Facility		$3,678.01	$6,572.00	$10,046.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,749.53 / $7,579.05 / $27,015.52	Professional		$3,749.53	$7,579.05	$27,015.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,565.00 / $8,192.81 / $11,094.92	Facility		$5,565.00	$8,192.81	$11,094.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,440.30 / $7,854.24 / $10,046.29	Professional		$4,440.30	$7,854.24	$10,046.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,911.80 / $6,722.90 / $7,919.64	Professional		$2,911.80	$6,722.90	$7,919.64
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 $3,749.53 / $5,713.57 / $11,624.61	Professional		$3,749.53	$5,713.57	$11,624.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,707.12 / $7,224.20 / $8,499.00	Professional		$5,707.12	$7,224.20	$8,499.00