Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,739.33 / $13,110.70 / $18,338.90	Facility		$6,739.33	$13,110.70	$18,338.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,447.96 / $5,863.22 / $6,537.15	Professional		$4,447.96	$5,863.22	$6,537.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,087.20 / $12,240.65 / $15,300.82	Professional		$8,087.20	$12,240.65	$15,300.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,728.43 / $9,098.10 / $12,198.19	Professional		$5,728.43	$9,098.10	$12,198.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,739.33 / $8,761.12 / $17,252.68	Facility		$6,739.33	$8,761.12	$17,252.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,043.60 / $4,289.58 / $26,325.68	Professional		$4,043.60	$4,289.58	$26,325.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8,087.20 / $11,793.83 / $15,770.03	Facility		$8,087.20	$11,793.83	$15,770.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,087.20 / $12,334.18 / $15,770.03	Professional		$8,087.20	$12,334.18	$15,770.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6,739.33 / $6,739.33 / $12,029.70	Professional		$6,739.33	$6,739.33	$12,029.70
United Facility/Professional Professional Modifier Low / Median / High Price $4,043.60 / $4,043.60 / $14,691.74	Professional		$4,043.60	$4,043.60	$14,691.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,739.33 / $6,739.33 / $6,739.33	Professional		$6,739.33	$6,739.33	$6,739.33