Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,561.46 / $4,075.83 / $5,153.38	Professional		$2,561.46	$4,075.83	$5,153.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,427.00 / $6,426.14 / $8,023.44	Professional		$5,427.00	$6,426.14	$8,023.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,819.03 / $4,438.95 / $8,638.99	Professional		$2,819.03	$4,438.95	$8,638.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,396.00 / $6,276.78 / $8,202.34	Facility		$3,396.00	$6,276.78	$8,202.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,013.31 / $5,755.34 / $21,348.72	Professional		$3,013.31	$5,755.34	$21,348.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,171.03 / $6,721.92 / $8,502.58	Facility		$5,171.03	$6,721.92	$8,502.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,335.49 / $6,426.14 / $8,502.58	Professional		$4,335.49	$6,426.14	$8,502.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,130.07 / $4,831.99 / $6,468.34	Professional		$3,130.07	$4,831.99	$6,468.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,856.00	Facility		$2,126.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,908.69 / $4,640.52 / $8,202.78	Professional		$2,908.69	$4,640.52	$8,202.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,682.49 / $5,927.20 / $6,973.20	Professional		$4,682.49	$5,927.20	$6,973.20