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 $3,750.92 / $5,739.64 / $21,963.00	Professional		$3,750.92	$5,739.64	$21,963.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,061.63 / $9,103.78 / $11,411.81	Professional		$4,061.63	$9,103.78	$11,411.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,954.34 / $6,410.88 / $15,262.16	Professional		$3,954.34	$6,410.88	$15,262.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,663.00 / $7,764.84 / $11,716.58	Facility		$4,663.00	$7,764.84	$11,716.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,608.43 / $9,205.95 / $30,727.60	Professional		$4,608.43	$9,205.95	$30,727.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,345.12 / $9,205.95 / $12,770.54	Facility		$6,345.12	$9,205.95	$12,770.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,993.00 / $9,205.95 / $12,475.11	Professional		$5,993.00	$9,205.95	$12,475.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $6,914.60 / $10,679.30	Professional		$13.00	$6,914.60	$10,679.30
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 $4,394.00 / $6,539.11 / $13,045.06	Professional		$4,394.00	$6,539.11	$13,045.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,520.82 / $8,254.20 / $9,710.79	Professional		$6,520.82	$8,254.20	$9,710.79