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 $2,477.44 / $3,705.84 / $8,641.49	Professional		$2,477.44	$3,705.84	$8,641.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,594.40 / $5,971.80 / $7,503.73	Professional		$2,594.40	$5,971.80	$7,503.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,513.73 / $4,267.88 / $8,904.89	Professional		$2,513.73	$4,267.88	$8,904.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,291.66 / $5,613.32 / $7,607.73	Facility		$3,291.66	$5,613.32	$7,607.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,181.19 / $5,924.99 / $21,347.14	Professional		$3,181.19	$5,924.99	$21,347.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,252.74 / $5,924.99 / $8,424.02	Facility		$4,252.74	$5,924.99	$8,424.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,193.00 / $5,924.99 / $8,294.33	Professional		$4,193.00	$5,924.99	$8,294.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $5,036.50 / $6,816.70	Professional		$8.00	$5,036.50	$6,816.70
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 $2,897.57 / $4,241.58 / $8,629.77	Professional		$2,897.57	$4,241.58	$8,629.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,127.35 / $5,224.50 / $6,146.50	Professional		$4,127.35	$5,224.50	$6,146.50