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 $1,985.06 / $3,109.73 / $11,761.50	Professional		$1,985.06	$3,109.73	$11,761.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,152.30 / $4,935.60 / $6,169.50	Professional		$2,152.30	$4,935.60	$6,169.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,117.58 / $3,338.27 / $6,379.50	Professional		$2,117.58	$3,338.27	$6,379.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,566.42 / $4,180.16 / $6,137.07	Facility		$2,566.42	$4,180.16	$6,137.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,429.57 / $4,818.82 / $16,537.68	Professional		$2,429.57	$4,818.82	$16,537.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,250.25 / $4,818.82 / $6,640.97	Facility		$3,250.25	$4,818.82	$6,640.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,054.00 / $4,818.82 / $6,273.02	Professional		$3,054.00	$4,818.82	$6,273.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $3,591.80 / $5,785.60	Professional		$7.00	$3,591.80	$5,785.60
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 $2,351.21 / $3,688.71 / $6,958.07	Professional		$2,351.21	$3,688.71	$6,958.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,508.31 / $4,440.89 / $5,224.60	Professional		$3,508.31	$4,440.89	$5,224.60