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 $4,296.87 / $6,546.93 / $25,390.60	Professional		$4,296.87	$6,546.93	$25,390.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,839.24 / $10,226.46 / $13,094.40	Professional		$2,839.24	$10,226.46	$13,094.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,165.39 / $6,419.21 / $16,072.45	Professional		$3,165.39	$6,419.21	$16,072.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,673.52 / $7,963.49 / $13,612.14	Facility		$4,673.52	$7,963.49	$13,612.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,912.22 / $10,125.49 / $35,138.96	Professional		$4,912.22	$10,125.49	$35,138.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,537.28 / $10,654.94 / $14,457.49	Facility		$6,537.28	$10,654.94	$14,457.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,802.34 / $10,581.40 / $13,094.40	Professional		$5,802.34	$10,581.40	$13,094.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,259.90 / $8,797.04 / $10,607.30	Professional		$3,259.90	$8,797.04	$10,607.30
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 $4,882.59 / $7,601.19 / $15,229.27	Professional		$4,882.59	$7,601.19	$15,229.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,422.21 / $9,395.20 / $11,053.20	Professional		$7,422.21	$9,395.20	$11,053.20