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 $3,898.91 / $5,941.64 / $22,996.80	Professional		$3,898.91	$5,941.64	$22,996.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,839.40 / $9,305.57 / $11,874.20	Professional		$2,839.40	$9,305.57	$11,874.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,272.49 / $5,829.93 / $14,443.52	Professional		$3,272.49	$5,829.93	$14,443.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,355.89 / $7,318.29 / $12,407.60	Facility		$4,355.89	$7,318.29	$12,407.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,444.51 / $8,983.84 / $31,893.44	Professional		$4,444.51	$8,983.84	$31,893.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,544.00 / $9,673.87 / $13,108.01	Facility		$6,544.00	$9,673.87	$13,108.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,259.75 / $9,289.58 / $11,874.20	Professional		$5,259.75	$9,289.58	$11,874.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,448.50 / $7,842.80 / $9,372.51	Professional		$3,448.50	$7,842.80	$9,372.51
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 $4,444.51 / $6,772.59 / $13,779.26	Professional		$4,444.51	$6,772.59	$13,779.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,738.78 / $8,530.10 / $10,035.50	Professional		$6,738.78	$8,530.10	$10,035.50