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 $2,781.50 / $4,250.64 / $16,346.70	Professional		$2,781.50	$4,250.64	$16,346.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,000.08 / $6,687.02 / $8,446.57	Professional		$3,000.08	$6,687.02	$8,446.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,971.60 / $4,739.27 / $10,629.74	Professional		$2,971.60	$4,739.27	$10,629.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,396.00 / $5,526.89 / $8,387.53	Facility		$3,396.00	$5,526.89	$8,387.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,560.08 / $6,896.59 / $22,633.12	Professional		$3,560.08	$6,896.59	$22,633.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,660.06 / $7,135.52 / $9,783.85	Facility		$5,660.06	$7,135.52	$9,783.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,556.38 / $7,135.52 / $9,783.85	Professional		$5,556.38	$7,135.52	$9,783.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,610.00 / $4,911.39 / $6,344.48	Professional		$2,610.00	$4,911.39	$6,344.48
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 $3,292.75 / $5,475.70 / $9,744.45	Professional		$3,292.75	$5,475.70	$9,744.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,804.14 / $6,081.20 / $7,154.40	Professional		$4,804.14	$6,081.20	$7,154.40