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 $3,710.50 / $5,689.68 / $21,745.70	Professional		$3,710.50	$5,689.68	$21,745.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,010.18 / $8,971.34 / $11,294.12	Professional		$4,010.18	$8,971.34	$11,294.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,783.34 / $6,174.10 / $11,763.85	Professional		$3,783.34	$6,174.10	$11,763.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,272.72 / $7,457.54 / $10,630.91	Facility		$4,272.72	$7,457.54	$10,630.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,565.78 / $8,943.75 / $31,718.87	Professional		$4,565.78	$8,943.75	$31,718.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,117.49 / $9,056.54 / $12,333.81	Facility		$6,117.49	$9,056.54	$12,333.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,637.00 / $9,056.54 / $11,695.54	Professional		$5,637.00	$9,056.54	$11,695.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $6,784.70 / $10,580.90	Professional		$7.00	$6,784.70	$10,580.90
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 $4,367.26 / $6,860.63 / $12,924.32	Professional		$4,367.26	$6,860.63	$12,924.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,436.13 / $8,147.00 / $9,584.70	Professional		$6,436.13	$8,147.00	$9,584.70