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 $1,972.08 / $3,045.35 / $11,598.10	Professional		$1,972.08	$3,045.35	$11,598.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,124.03 / $4,768.09 / $5,994.15	Professional		$2,124.03	$4,768.09	$5,994.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,063.50 / $3,257.31 / $6,793.68	Professional		$2,063.50	$3,257.31	$6,793.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,717.51 / $4,371.06 / $6,155.91	Facility		$2,717.51	$4,371.06	$6,155.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,429.03 / $4,876.22 / $18,462.88	Professional		$2,429.03	$4,876.22	$18,462.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,329.72 / $4,891.52 / $6,972.38	Facility		$3,329.72	$4,891.52	$6,972.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,329.72 / $4,891.52 / $6,580.57	Professional		$3,329.72	$4,891.52	$6,580.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,950.38 / $3,951.50 / $4,688.02	Professional		$1,950.38	$3,951.50	$4,688.02
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 $2,323.42 / $3,655.67 / $6,875.84	Professional		$2,323.42	$3,655.67	$6,875.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,407.43 / $4,313.20 / $5,074.39	Professional		$3,407.43	$4,313.20	$5,074.39