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 $2,549.59 / $3,925.36 / $14,968.40	Professional		$2,549.59	$3,925.36	$14,968.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,757.04 / $6,143.20 / $7,758.40	Professional		$2,757.04	$6,143.20	$7,758.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,674.71 / $4,227.12 / $8,917.40	Professional		$2,674.71	$4,227.12	$8,917.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,288.88 / $5,568.87 / $7,965.24	Facility		$3,288.88	$5,568.87	$7,965.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,238.92 / $6,242.73 / $20,821.75	Professional		$3,238.92	$6,242.73	$20,821.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,293.43 / $6,326.01 / $8,737.34	Facility		$4,293.43	$6,326.01	$8,737.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,224.00 / $6,326.01 / $8,493.37	Professional		$4,224.00	$6,326.01	$8,493.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,520.87 / $5,093.80 / $6,083.80	Professional		$2,520.87	$5,093.80	$6,083.80
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 $3,005.43 / $4,371.54 / $8,894.16	Professional		$3,005.43	$4,371.54	$8,894.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,406.70 / $5,578.10 / $6,562.50	Professional		$4,406.70	$5,578.10	$6,562.50