Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,475.80 / $10,652.70 / $14,900.70	Facility		$5,475.80	$10,652.70	$14,900.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,614.03 / $4,763.95 / $5,311.53	Professional		$3,614.03	$4,763.95	$5,311.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,570.96 / $9,945.41 / $12,431.76	Professional		$6,570.96	$9,945.41	$12,431.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,654.43 / $7,392.33 / $9,911.20	Professional		$4,654.43	$7,392.33	$9,911.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,216.37 / $6,570.96 / $14,018.05	Facility		$4,216.37	$6,570.96	$14,018.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,285.48 / $3,453.81 / $21,389.98	Professional		$3,285.48	$3,453.81	$21,389.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,570.96 / $9,582.65 / $12,813.37	Facility		$6,570.96	$9,582.65	$12,813.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,570.96 / $9,582.65 / $12,813.37	Professional		$6,570.96	$9,582.65	$12,813.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,475.80 / $5,475.80 / $9,774.29	Professional		$5,475.80	$5,475.80	$9,774.29
United Facility/Professional Professional Modifier Low / Median / High Price $3,285.48 / $3,285.48 / $11,211.70	Professional		$3,285.48	$3,285.48	$11,211.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,475.80 / $5,475.80 / $5,475.80	Professional		$5,475.80	$5,475.80	$5,475.80