Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,699.45 / $9,699.45 / $10,573.30	Facility		$9,699.45	$9,699.45	$10,573.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,278.28 / $6,245.39 / $6,522.00	Professional		$2,278.28	$6,245.39	$6,522.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9,511.25 / $9,511.25 / $9,511.25	Professional		$9,511.25	$9,511.25	$9,511.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,184.95 / $7,024.74 / $25,816.25	Facility		$4,184.95	$7,024.74	$25,816.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,138.20 / $1,953.91 / $27,066.30	Professional		$1,138.20	$1,953.91	$27,066.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,157.43 / $7,024.74 / $12,717.90	Facility		$4,157.43	$7,024.74	$12,717.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,319.75 / $6,522.00 / $11,196.10	Professional		$3,319.75	$6,522.00	$11,196.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,435.00 / $5,435.00 / $9,701.48	Professional		$5,435.00	$5,435.00	$9,701.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.20 / $1,138.20 / $5,175.59	Professional		$1,138.20	$1,138.20	$5,175.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,435.00 / $5,435.00 / $5,435.00	Professional		$5,435.00	$5,435.00	$5,435.00