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 $2,024.76 / $3,105.15 / $11,877.50	Professional		$2,024.76	$3,105.15	$11,877.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,196.79 / $4,881.06 / $6,168.29	Professional		$2,196.79	$4,881.06	$6,168.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,062.66 / $3,376.11 / $7,155.05	Professional		$2,062.66	$3,376.11	$7,155.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,599.64 / $4,483.14 / $6,484.01	Facility		$2,599.64	$4,483.14	$6,484.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,499.19 / $4,966.83 / $16,558.32	Professional		$2,499.19	$4,966.83	$16,558.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,435.92 / $5,040.00 / $6,924.71	Facility		$3,435.92	$5,040.00	$6,924.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,345.00 / $5,040.00 / $6,737.65	Professional		$3,345.00	$5,040.00	$6,737.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $4,042.80 / $5,771.90	Professional		$7.00	$4,042.80	$5,771.90
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 $2,389.07 / $3,541.56 / $7,070.12	Professional		$2,389.07	$3,541.56	$7,070.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,510.84 / $4,444.10 / $5,228.39	Professional		$3,510.84	$4,444.10	$5,228.39