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 $2,168.96 / $3,321.81 / $12,701.70	Professional		$2,168.96	$3,321.81	$12,701.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,288.96 / $5,238.67 / $6,605.45	Professional		$2,288.96	$5,238.67	$6,605.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,286.87 / $3,616.26 / $7,458.04	Professional		$2,286.87	$3,616.26	$7,458.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,819.65 / $4,655.01 / $6,925.76	Facility		$2,819.65	$4,655.01	$6,925.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,669.85 / $5,308.47 / $17,744.64	Professional		$2,669.85	$5,308.47	$17,744.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,640.95 / $5,403.89 / $7,203.90	Facility		$3,640.95	$5,403.89	$7,203.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,441.00 / $5,403.89 / $6,963.16	Professional		$3,441.00	$5,403.89	$6,963.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,364.40 / $4,027.81 / $4,965.41	Professional		$2,364.40	$4,027.81	$4,965.41
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 $2,553.77 / $3,830.88 / $7,557.54	Professional		$2,553.77	$3,830.88	$7,557.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,764.35 / $4,765.00 / $5,605.90	Professional		$3,764.35	$4,765.00	$5,605.90