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 $2,369.73 / $3,627.14 / $5,937.01	Professional		$2,369.73	$3,627.14	$5,937.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,568.50 / $5,738.07 / $7,213.15	Professional		$2,568.50	$5,738.07	$7,213.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,498.77 / $3,917.91 / $10,678.37	Professional		$2,498.77	$3,917.91	$10,678.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,052.28 / $5,244.00 / $7,219.78	Facility		$3,052.28	$5,244.00	$7,219.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,956.11 / $5,793.40 / $19,403.20	Professional		$2,956.11	$5,793.40	$19,403.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,860.14 / $5,909.72 / $7,935.54	Facility		$3,860.14	$5,909.72	$7,935.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,860.14 / $5,909.72 / $7,881.11	Professional		$3,860.14	$5,909.72	$7,881.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $4,451.60 / $6,748.70	Professional		$15.00	$4,451.60	$6,748.70
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 $2,785.70 / $4,130.95 / $8,243.87	Professional		$2,785.70	$4,130.95	$8,243.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,116.68 / $5,211.00 / $6,130.60	Professional		$4,116.68	$5,211.00	$6,130.60