Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,878.45 / $7,545.16 / $10,554.00	Facility		$3,878.45	$7,545.16	$10,554.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,559.78 / $2,986.41 / $3,762.10	Professional		$2,559.78	$2,986.41	$3,762.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,654.14 / $4,654.14 / $4,654.14	Facility		$4,654.14	$4,654.14	$4,654.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,041.99 / $7,044.36 / $8,805.45	Professional		$5,041.99	$7,044.36	$8,805.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,296.68 / $5,235.91 / $7,019.99	Professional		$3,296.68	$5,235.91	$7,019.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,878.45 / $4,654.14 / $10,667.45	Facility		$3,878.45	$4,654.14	$10,667.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,327.07 / $2,327.07 / $15,568.87	Professional		$2,327.07	$2,327.07	$15,568.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,654.14 / $5,041.99 / $10,667.45	Facility		$4,654.14	$5,041.99	$10,667.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,654.14 / $5,041.99 / $10,667.45	Professional		$4,654.14	$5,041.99	$10,667.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,878.45 / $3,878.45 / $6,923.03	Professional		$3,878.45	$3,878.45	$6,923.03
United Facility/Professional Professional Modifier Low / Median / High Price $2,327.07 / $2,327.07 / $8,455.02	Professional		$2,327.07	$2,327.07	$8,455.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,878.45 / $3,878.45 / $3,878.45	Professional		$3,878.45	$3,878.45	$3,878.45