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 $2,502.42 / $3,831.07 / $14,671.40	Professional		$2,502.42	$3,831.07	$14,671.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,631.41 / $6,033.35 / $7,626.30	Professional		$2,631.41	$6,033.35	$7,626.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,640.20 / $4,176.37 / $8,779.79	Professional		$2,640.20	$4,176.37	$8,779.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,234.08 / $5,354.02 / $7,856.00	Facility		$3,234.08	$5,354.02	$7,856.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,086.30 / $6,136.70 / $20,473.91	Professional		$3,086.30	$6,136.70	$20,473.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,148.92 / $6,232.84 / $8,344.96	Facility		$4,148.92	$6,232.84	$8,344.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,957.00 / $6,232.84 / $8,011.25	Professional		$3,957.00	$6,232.84	$8,011.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,718.00 / $4,645.00 / $5,734.47	Professional		$2,718.00	$4,645.00	$5,734.47
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 $2,952.11 / $4,293.97 / $8,736.37	Professional		$2,952.11	$4,293.97	$8,736.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,341.76 / $5,495.90 / $6,465.80	Professional		$4,341.76	$5,495.90	$6,465.80