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 $1,594.03 / $2,442.92 / $9,307.62	Professional		$1,594.03	$2,442.92	$9,307.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,722.92 / $3,858.88 / $4,848.41	Professional		$1,722.92	$3,858.88	$4,848.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,676.07 / $2,626.68 / $6,430.92	Professional		$1,676.07	$2,626.68	$6,430.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,142.83 / $3,745.11 / $5,059.39	Facility		$2,142.83	$3,745.11	$5,059.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,967.14 / $3,879.55 / $13,253.41	Professional		$1,967.14	$3,879.55	$13,253.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,657.11 / $3,967.94 / $5,304.47	Facility		$2,657.11	$3,967.94	$5,304.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,593.00 / $3,967.94 / $5,267.38	Professional		$2,593.00	$3,967.94	$5,267.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $3,168.20 / $4,546.60	Professional		$11.00	$3,168.20	$4,546.60
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 $1,868.41 / $3,083.38 / $5,529.29	Professional		$1,868.41	$3,083.38	$5,529.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,764.05 / $3,498.80 / $4,116.30	Professional		$2,764.05	$3,498.80	$4,116.30