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 $5,026.97 / $5,176.14 / $5,176.14	Professional		$5,026.97	$5,176.14	$5,176.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,961.52 / $13,635.52 / $15,977.11	Professional		$11,961.52	$13,635.52	$15,977.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,276.21 / $8,645.67 / $14,558.58	Professional		$3,276.21	$8,645.67	$14,558.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,176.14 / $10,808.39 / $16,021.18	Facility		$5,176.14	$10,808.39	$16,021.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,939.02 / $13,374.06 / $41,111.36	Professional		$6,939.02	$13,374.06	$41,111.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8,902.90 / $12,465.70 / $16,914.66	Facility		$8,902.90	$12,465.70	$16,914.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,845.00 / $12,465.70 / $16,914.66	Professional		$8,845.00	$12,465.70	$16,914.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $10,701.00 / $14,185.60	Professional		$7.00	$10,701.00	$14,185.60
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 $6,355.44 / $11,384.53 / $17,990.32	Professional		$6,355.44	$11,384.53	$17,990.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10,991.90 / $10,991.90 / $12,931.60	Professional		$10,991.90	$10,991.90	$12,931.60