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 $3,263.02 / $4,995.58 / $19,397.20	Professional		$3,263.02	$4,995.58	$19,397.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,536.92 / $7,833.07 / $9,917.79	Professional		$3,536.92	$7,833.07	$9,917.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,489.40 / $5,570.85 / $12,413.68	Professional		$3,489.40	$5,570.85	$12,413.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,887.38 / $6,157.01 / $9,878.33	Facility		$3,887.38	$6,157.01	$9,878.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,247.87 / $8,090.19 / $26,686.64	Professional		$4,247.87	$8,090.19	$26,686.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,753.71 / $8,514.68 / $11,493.07	Facility		$6,753.71	$8,514.68	$11,493.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,550.10 / $8,514.68 / $11,493.07	Professional		$6,550.10	$8,514.68	$11,493.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,068.51 / $5,767.21 / $7,486.47	Professional		$3,068.51	$5,767.21	$7,486.47
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 $3,911.88 / $6,165.17 / $11,576.66	Professional		$3,911.88	$6,165.17	$11,576.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,635.62 / $7,133.70 / $8,392.60	Professional		$5,635.62	$7,133.70	$8,392.60