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 $4,122.93 / $6,317.87 / $24,206.20	Professional		$4,122.93	$6,317.87	$24,206.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,474.63 / $10,009.10 / $12,526.34	Professional		$4,474.63	$10,009.10	$12,526.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,355.93 / $7,064.46 / $16,800.74	Professional		$4,355.93	$7,064.46	$16,800.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,961.63 / $8,311.61 / $12,876.06	Facility		$4,961.63	$8,311.61	$12,876.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,081.85 / $10,304.15 / $33,817.44	Professional		$5,081.85	$10,304.15	$33,817.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,981.28 / $10,304.15 / $14,061.02	Facility		$6,981.28	$10,304.15	$14,061.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,591.00 / $10,304.15 / $13,740.37	Professional		$6,591.00	$10,304.15	$13,740.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $8,251.00 / $11,726.30	Professional		$13.00	$8,251.00	$11,726.30
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 $4,860.89 / $7,232.90 / $14,385.17	Professional		$4,860.89	$7,232.90	$14,385.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,177.86 / $9,085.90 / $10,689.30	Professional		$7,177.86	$9,085.90	$10,689.30