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 $1,935.55 / $2,869.36 / $11,142.30	Professional		$1,935.55	$2,869.36	$11,142.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,988.27 / $4,667.59 / $5,870.57	Professional		$1,988.27	$4,667.59	$5,870.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,937.41 / $3,327.21 / $7,900.02	Professional		$1,937.41	$3,327.21	$7,900.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,662.41 / $4,577.10 / $6,135.28	Facility		$2,662.41	$4,577.10	$6,135.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,376.58 / $4,577.10 / $15,578.32	Professional		$2,376.58	$4,577.10	$15,578.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,321.71 / $4,577.10 / $6,468.70	Facility		$3,321.71	$4,577.10	$6,468.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,239.00 / $4,577.10 / $6,464.30	Professional		$3,239.00	$4,577.10	$6,464.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,887.89 / $3,532.24 / $4,543.80	Professional		$1,887.89	$3,532.24	$4,543.80
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 $2,251.48 / $3,715.57 / $6,662.98	Professional		$2,251.48	$3,715.57	$6,662.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,188.44 / $4,036.00 / $4,748.20	Professional		$3,188.44	$4,036.00	$4,748.20