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 $2,538.96 / $3,908.44 / $14,905.00	Professional		$2,538.96	$3,908.44	$14,905.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,745.96 / $6,116.71 / $7,727.18	Professional		$2,745.96	$6,116.71	$7,727.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,662.94 / $4,208.41 / $8,879.87	Professional		$2,662.94	$4,208.41	$8,879.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,269.43 / $5,538.44 / $7,932.22	Facility		$3,269.43	$5,538.44	$7,932.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,218.48 / $6,215.54 / $20,730.64	Professional		$3,218.48	$6,215.54	$20,730.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,292.35 / $6,298.36 / $8,683.45	Facility		$4,292.35	$6,298.36	$8,683.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,201.00 / $6,298.36 / $8,451.41	Professional		$4,201.00	$6,298.36	$8,451.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,509.89 / $5,071.89 / $6,056.88	Professional		$2,509.89	$5,071.89	$6,056.88
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 $2,992.58 / $4,352.85 / $8,856.14	Professional		$2,992.58	$4,352.85	$8,856.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,387.42 / $5,553.70 / $6,533.80	Professional		$4,387.42	$5,553.70	$6,533.80