Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,582.20 / $14,750.40 / $20,632.50	Facility		$7,582.20	$14,750.40	$20,632.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20,492.40 / $20,492.40 / $20,492.40	Professional		$20,492.40	$20,492.40	$20,492.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,098.64 / $13,771.47 / $17,214.34	Professional		$9,098.64	$13,771.47	$17,214.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6,444.87 / $10,235.96 / $38,753.46	Professional		$6,444.87	$10,235.96	$38,753.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $7,582.20 / $9,784.32 / $19,410.43	Facility		$7,582.20	$9,784.32	$19,410.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,549.32 / $5,087.66 / $28,488.39	Professional		$4,549.32	$5,087.66	$28,488.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9,098.64 / $11,512.59 / $16,617.03	Facility		$9,098.64	$11,512.59	$16,617.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9,098.64 / $13,865.95 / $19,789.54	Professional		$9,098.64	$13,865.95	$19,789.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,582.20 / $7,582.20 / $13,534.23	Professional		$7,582.20	$7,582.20	$13,534.23
United Facility/Professional Professional Modifier Low / Median / High Price $4,549.32 / $4,549.32 / $15,524.55	Professional		$4,549.32	$4,549.32	$15,524.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,582.20 / $7,582.20 / $7,582.20	Professional		$7,582.20	$7,582.20	$7,582.20