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 $2,025.87 / $3,138.32 / $11,940.40	Professional		$2,025.87	$3,138.32	$11,940.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,111.21 / $4,892.75 / $6,155.08	Professional		$2,111.21	$4,892.75	$6,155.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,055.60 / $3,339.18 / $7,167.55	Professional		$2,055.60	$3,339.18	$7,167.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,595.16 / $4,707.68 / $6,493.68	Facility		$2,595.16	$4,707.68	$6,493.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,498.96 / $4,974.05 / $17,258.00	Professional		$2,498.96	$4,974.05	$17,258.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,383.47 / $5,016.68 / $6,749.15	Facility		$3,383.47	$5,016.68	$6,749.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,247.00 / $5,016.68 / $6,382.06	Professional		$3,247.00	$5,016.68	$6,382.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,899.31 / $4,068.69 / $4,805.85	Professional		$1,899.31	$4,068.69	$4,805.85
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 $2,390.32 / $3,866.00 / $7,073.83	Professional		$2,390.32	$3,866.00	$7,073.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,494.64 / $4,423.60 / $5,204.20	Professional		$3,494.64	$4,423.60	$5,204.20