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 $2,215.55 / $3,523.08 / $4,488.95	Professional		$2,215.55	$3,523.08	$4,488.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,701.00 / $5,649.21 / $6,913.78	Professional		$4,701.00	$5,649.21	$6,913.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,434.80 / $3,893.58 / $9,738.89	Professional		$2,434.80	$3,893.58	$9,738.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,396.00 / $5,460.77 / $7,541.45	Facility		$3,396.00	$5,460.77	$7,541.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,593.67 / $4,959.03 / $18,467.84	Professional		$2,593.67	$4,959.03	$18,467.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,475.70 / $5,811.46 / $7,344.24	Facility		$4,475.70	$5,811.46	$7,344.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,762.08 / $5,615.13 / $7,344.24	Professional		$3,762.08	$5,615.13	$7,344.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,701.45 / $4,180.28 / $5,580.96	Professional		$2,701.45	$4,180.28	$5,580.96
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 $2,514.36 / $3,770.88 / $7,070.40	Professional		$2,514.36	$3,770.88	$7,070.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,048.28 / $5,124.39 / $6,028.70	Professional		$4,048.28	$5,124.39	$6,028.70