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 $2,730.04 / $3,359.33 / $5,092.64	Professional		$2,730.04	$3,359.33	$5,092.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,962.48 / $6,588.85 / $8,316.87	Professional		$2,962.48	$6,588.85	$8,316.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,879.12 / $4,695.20 / $12,032.10	Professional		$2,879.12	$4,695.20	$12,032.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,463.60 / $6,219.51 / $8,163.46	Facility		$3,463.60	$6,219.51	$8,163.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,309.14 / $6,366.24 / $22,337.92	Professional		$3,309.14	$6,366.24	$22,337.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,489.04 / $6,800.54 / $9,666.03	Facility		$4,489.04	$6,800.54	$9,666.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,489.04 / $6,488.29 / $8,486.25	Professional		$4,489.04	$6,488.29	$8,486.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $5,120.30 / $7,777.10	Professional		$15.00	$5,120.30	$7,777.10
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 $3,033.38 / $4,576.49 / $8,976.87	Professional		$3,033.38	$4,576.49	$8,976.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,737.24 / $5,996.50 / $7,054.70	Professional		$4,737.24	$5,996.50	$7,054.70