Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $9,299.04 / $13,007.20	Facility		$4,780.00	$9,299.04	$13,007.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,154.80 / $3,680.60 / $4,636.60	Professional		$3,154.80	$3,680.60	$4,636.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,736.00 / $8,681.59 / $10,851.98	Professional		$5,736.00	$8,681.59	$10,851.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,063.00 / $6,453.00 / $24,431.10	Professional		$4,063.00	$6,453.00	$24,431.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $6,168.26 / $12,236.80	Facility		$4,780.00	$6,168.26	$12,236.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,868.00 / $4,780.00 / $18,804.90	Professional		$2,868.00	$4,780.00	$18,804.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,736.00 / $9,099.83 / $13,492.58	Facility		$5,736.00	$9,099.83	$13,492.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,736.00 / $9,277.98 / $12,189.00	Professional		$5,736.00	$9,277.98	$12,189.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,650.93 / $4,780.00 / $8,532.29	Professional		$4,650.93	$4,780.00	$8,532.29
United Facility/Professional Professional Modifier Low / Median / High Price $2,868.00 / $2,868.00 / $10,420.40	Professional		$2,868.00	$2,868.00	$10,420.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $4,780.00	Professional		$4,780.00	$4,780.00	$4,780.00