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 $3,139.92 / $4,805.05 / $18,360.20	Professional		$3,139.92	$4,805.05	$18,360.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,935.57 / $7,632.06 / $9,540.08	Professional		$6,935.57	$7,632.06	$9,540.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,310.04 / $5,365.43 / $12,804.87	Professional		$3,310.04	$5,365.43	$12,804.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,039.81 / $6,740.21 / $9,115.53	Facility		$4,039.81	$6,740.21	$9,115.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,851.14 / $7,840.55 / $25,728.72	Professional		$3,851.14	$7,840.55	$25,728.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,167.64 / $7,840.55 / $10,573.05	Facility		$5,167.64	$7,840.55	$10,573.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,039.00 / $7,840.55 / $10,432.57	Professional		$5,039.00	$7,840.55	$10,432.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $6,281.60 / $8,940.40	Professional		$13.00	$6,281.60	$8,940.40
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 $3,683.70 / $5,543.53 / $10,901.41	Professional		$3,683.70	$5,543.53	$10,901.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,461.74 / $6,913.60 / $8,133.60	Professional		$5,461.74	$6,913.60	$8,133.60