Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,475.20 / $10,651.50 / $14,899.00	Facility		$5,475.20	$10,651.50	$14,899.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,763.42 / $4,763.42 / $5,310.94	Professional		$4,763.42	$4,763.42	$5,310.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,575.66 / $9,944.10 / $12,430.13	Professional		$6,575.66	$9,944.10	$12,430.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,653.92 / $7,391.52 / $9,910.11	Professional		$4,653.92	$7,391.52	$9,910.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,475.20 / $7,065.37 / $14,016.51	Facility		$5,475.20	$7,065.37	$14,016.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,285.12 / $3,394.62 / $17,669.02	Professional		$3,285.12	$3,394.62	$17,669.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,570.24 / $7,665.28 / $11,278.91	Facility		$6,570.24	$7,665.28	$11,278.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,570.24 / $8,322.29 / $11,278.91	Professional		$6,570.24	$8,322.29	$11,278.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,475.20 / $5,475.20 / $9,773.23	Professional		$5,475.20	$5,475.20	$9,773.23
United Facility/Professional Professional Modifier Low / Median / High Price $3,285.12 / $3,285.12 / $11,210.47	Professional		$3,285.12	$3,285.12	$11,210.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,475.20 / $5,475.20 / $5,475.20	Professional		$5,475.20	$5,475.20	$5,475.20