Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,224.60 / $10,164.00 / $14,217.10	Facility		$5,224.60	$10,164.00	$14,217.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,448.24 / $4,545.39 / $5,067.85	Professional		$3,448.24	$4,545.39	$5,067.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,274.69 / $9,489.75 / $11,862.19	Professional		$6,274.69	$9,489.75	$11,862.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,440.91 / $7,053.21 / $9,456.53	Professional		$4,440.91	$7,053.21	$9,456.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,224.60 / $6,741.99 / $13,374.98	Facility		$5,224.60	$6,741.99	$13,374.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,134.76 / $3,239.25 / $16,860.31	Professional		$3,134.76	$3,239.25	$16,860.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,269.52 / $7,314.44 / $10,762.68	Facility		$6,269.52	$7,314.44	$10,762.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,269.52 / $7,941.39 / $10,762.68	Professional		$6,269.52	$7,941.39	$10,762.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,224.60 / $5,224.60 / $9,325.91	Professional		$5,224.60	$5,224.60	$9,325.91
United Facility/Professional Facility Modifier Low / Median / High Price $5,224.60 / $5,224.60 / $12,016.58	Facility		$5,224.60	$5,224.60	$12,016.58
United Facility/Professional Professional Modifier Low / Median / High Price $3,134.76 / $3,134.76 / $9,665.51	Professional		$3,134.76	$3,134.76	$9,665.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,224.60 / $5,224.60 / $5,224.60	Professional		$5,224.60	$5,224.60	$5,224.60