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 $1,875.00 / $1,875.00 / $1,875.00	Professional		$1,875.00	$1,875.00	$1,875.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.00 / $2,906.40 / $3,375.97	Professional		$595.00	$2,906.40	$3,375.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,215.68 / $1,695.49 / $2,342.17	Professional		$1,215.68	$1,695.49	$2,342.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $2,906.25 / $6,572.00	Facility		$1,875.00	$2,906.25	$6,572.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,482.16 / $2,906.40 / $6,588.36	Professional		$2,482.16	$2,906.40	$6,588.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,733.43 / $2,906.40 / $2,906.40	Facility		$2,733.43	$2,906.40	$2,906.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,482.16 / $2,659.78 / $2,906.40	Professional		$2,482.16	$2,659.78	$2,906.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $7.00	Professional		$7.00	$7.00	$7.00
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
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,512.61 / $1,914.70 / $1,914.70	Professional		$1,512.61	$1,914.70	$1,914.70