Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,964.00 / $6,066.00 / $7,119.04	Facility		$4,964.00	$6,066.00	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,844.13 / $5,859.05 / $22,696.10	Professional		$3,844.13	$5,859.05	$22,696.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,895.70 / $9,154.43 / $11,712.07	Professional		$2,895.70	$9,154.43	$11,712.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,326.03 / $5,743.71 / $14,261.45	Professional		$3,326.03	$5,743.71	$14,261.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,318.60 / $7,703.78 / $12,248.86	Facility		$4,318.60	$7,703.78	$12,248.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,390.10 / $8,873.86 / $31,438.56	Professional		$4,390.10	$8,873.86	$31,438.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,525.00 / $9,533.41 / $12,933.96	Facility		$6,525.00	$9,533.41	$12,933.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,191.45 / $9,243.08 / $11,712.07	Professional		$5,191.45	$9,243.08	$11,712.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,441.00 / $7,867.57 / $9,360.00	Professional		$3,441.00	$7,867.57	$9,360.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,321.00 / $5,847.00 / $7,856.00	Facility		$1,321.00	$5,847.00	$7,856.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,599.16 / $7,818.56 / $13,610.57	Professional		$4,599.16	$7,818.56	$13,610.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,640.98 / $8,406.29 / $9,889.70	Professional		$6,640.98	$8,406.29	$9,889.70