Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,057.58 / $4,936.97 / $4,936.97	Professional		$3,057.58	$4,936.97	$4,936.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,498.19 / $7,588.73 / $9,301.68	Professional		$5,498.19	$7,588.73	$9,301.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,528.34 / $4,542.66 / $8,428.37	Professional		$2,528.34	$4,542.66	$8,428.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,653.42 / $6,608.00 / $9,301.68	Facility		$3,653.42	$6,608.00	$9,301.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,555.60 / $7,785.99 / $25,026.08	Professional		$3,555.60	$7,785.99	$25,026.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,268.47 / $7,588.73 / $10,272.46	Facility		$5,268.47	$7,588.73	$10,272.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,118.43 / $7,277.04 / $9,301.68	Professional		$4,118.43	$7,277.04	$9,301.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $6,231.50 / $8,635.40	Professional		$15.00	$6,231.50	$8,635.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,636.01 / $7,598.55 / $10,760.26	Professional		$3,636.01	$7,598.55	$10,760.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,425.60 / $6,425.60 / $7,559.60	Professional		$6,425.60	$6,425.60	$7,559.60