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 $1,924.37 / $2,973.45 / $11,317.60	Professional		$1,924.37	$2,973.45	$11,317.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,071.42 / $4,654.34 / $5,847.62	Professional		$2,071.42	$4,654.34	$5,847.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,013.28 / $3,178.25 / $6,793.68	Professional		$2,013.28	$3,178.25	$6,793.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,651.23 / $4,264.82 / $6,123.72	Facility		$2,651.23	$4,264.82	$6,123.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,369.75 / $4,757.22 / $17,956.93	Professional		$2,369.75	$4,757.22	$17,956.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,247.39 / $4,773.62 / $6,804.52	Facility		$3,247.39	$4,773.62	$6,804.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,247.39 / $4,773.62 / $6,416.44	Professional		$3,247.39	$4,773.62	$6,416.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,806.13 / $3,849.80 / $4,638.89	Professional		$1,806.13	$3,849.80	$4,638.89
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 $2,266.71 / $3,620.65 / $6,708.03	Professional		$2,266.71	$3,620.65	$6,708.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,325.27 / $4,209.20 / $4,952.00	Professional		$3,325.27	$4,209.20	$4,952.00