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 $2,624.27 / $4,084.64 / $15,635.60	Professional		$2,624.27	$4,084.64	$15,635.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,149.09 / $6,405.76 / $8,007.20	Professional		$2,149.09	$6,405.76	$8,007.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.21 / $4,017.34 / $9,337.14	Professional		$2,398.21	$4,017.34	$9,337.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,952.09 / $5,259.29 / $8,060.83	Facility		$2,952.09	$5,259.29	$8,060.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,973.58 / $5,958.29 / $21,746.64	Professional		$2,973.58	$5,958.29	$21,746.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,265.00 / $6,614.21 / $8,875.66	Facility		$4,265.00	$6,614.21	$8,875.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,487.80 / $6,146.07 / $8,060.83	Professional		$3,487.80	$6,146.07	$8,060.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $5,321.20 / $7,584.90	Professional		$7.00	$5,321.20	$7,584.90
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 $3,068.39 / $4,725.58 / $9,155.85	Professional		$3,068.39	$4,725.58	$9,155.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,607.43 / $5,832.20 / $6,861.40	Professional		$4,607.43	$5,832.20	$6,861.40