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 $1,956.66 / $2,986.57 / $11,489.00	Professional		$1,956.66	$2,986.57	$11,489.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,135.09 / $4,697.97 / $6,306.26	Professional		$2,135.09	$4,697.97	$6,306.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,063.96 / $3,346.85 / $7,462.21	Professional		$2,063.96	$3,346.85	$7,462.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,655.81 / $4,663.00 / $6,691.09	Facility		$2,655.81	$4,663.00	$6,691.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,531.17 / $4,856.58 / $16,020.08	Professional		$2,531.17	$4,856.58	$16,020.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,528.60 / $4,856.58 / $6,900.43	Facility		$3,528.60	$4,856.58	$6,900.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,509.00 / $4,856.58 / $6,571.44	Professional		$3,509.00	$4,856.58	$6,571.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $3,992.80 / $5,531.40	Professional		$15.00	$3,992.80	$5,531.40
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 $2,320.23 / $3,585.83 / $6,866.44	Professional		$2,320.23	$3,585.83	$6,866.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,383.10 / $4,282.39 / $5,038.10	Professional		$3,383.10	$4,282.39	$5,038.10