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 $3,761.77 / $5,732.99 / $8,715.84	Professional		$3,761.77	$5,732.99	$8,715.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,024.93 / $8,980.69 / $11,455.06	Professional		$3,024.93	$8,980.69	$11,455.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,380.60 / $5,625.33 / $13,950.12	Professional		$3,380.60	$5,625.33	$13,950.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,231.97 / $7,544.42 / $11,455.06	Facility		$4,231.97	$7,544.42	$11,455.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,286.28 / $8,567.21 / $30,776.64	Professional		$4,286.28	$8,567.21	$30,776.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,459.00 / $9,333.99 / $12,646.07	Facility		$6,459.00	$9,333.99	$12,646.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,008.18 / $8,963.56 / $11,455.06	Professional		$5,008.18	$8,963.56	$11,455.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,553.90 / $7,568.70 / $9,041.18	Professional		$3,553.90	$7,568.70	$9,041.18
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 $4,490.39 / $6,531.47 / $13,288.69	Professional		$4,490.39	$6,531.47	$13,288.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,502.02 / $8,230.40 / $9,682.90	Professional		$6,502.02	$8,230.40	$9,682.90