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 $3,376.32 / $5,254.44 / $20,053.30	Professional		$3,376.32	$5,254.44	$20,053.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,704.68 / $8,291.18 / $10,424.60	Professional		$3,704.68	$8,291.18	$10,424.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,493.58 / $5,695.55 / $10,859.05	Professional		$3,493.58	$5,695.55	$10,859.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,115.22 / $7,305.00 / $9,752.08	Facility		$4,115.22	$7,305.00	$9,752.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,208.66 / $8,339.26 / $28,880.07	Professional		$4,208.66	$8,339.26	$28,880.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,541.78 / $8,339.26 / $11,676.28	Facility		$5,541.78	$8,339.26	$11,676.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,541.78 / $8,339.26 / $11,370.13	Professional		$5,541.78	$8,339.26	$11,370.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $6,167.40 / $9,773.20	Professional		$7.00	$6,167.40	$9,773.20
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 $4,025.67 / $6,427.81 / $11,913.42	Professional		$4,025.67	$6,427.81	$11,913.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,942.38 / $7,522.00 / $8,849.40	Professional		$5,942.38	$7,522.00	$8,849.40