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 $2,783.66 / $4,757.33 / $17,616.80	Professional		$2,783.66	$4,757.33	$17,616.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,633.26 / $7,553.40 / $8,481.40	Professional		$6,633.26	$7,553.40	$8,481.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,948.51 / $4,656.17 / $9,516.79	Professional		$2,948.51	$4,656.17	$9,516.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,396.00 / $6,907.52 / $8,499.58	Facility		$3,396.00	$6,907.52	$8,499.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,631.86 / $7,221.07 / $11,142.66	Professional		$3,631.86	$7,221.07	$11,142.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,259.00 / $6,907.52 / $9,362.10	Facility		$4,259.00	$6,907.52	$9,362.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,259.00 / $6,907.52 / $9,362.10	Professional		$4,259.00	$6,907.52	$9,362.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,193.41 / $5,155.75 / $6,393.28	Professional		$3,193.41	$5,155.75	$6,393.28
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 $3,480.53 / $7,014.03 / $9,958.74	Professional		$3,480.53	$7,014.03	$9,958.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,002.99 / $6,332.90 / $7,450.40	Professional		$5,002.99	$6,332.90	$7,450.40