Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $5,463.36 / $7,120.36	Facility		$4,227.00	$5,463.36	$7,120.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,302.67 / $5,321.65 / $10,753.72	Professional		$4,302.67	$5,321.65	$10,753.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,669.00 / $10,341.77 / $13,129.24	Professional		$4,669.00	$10,341.77	$13,129.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,385.64 / $7,207.20 / $14,570.00	Professional		$4,385.64	$7,207.20	$14,570.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,882.52 / $8,832.86 / $13,129.24	Facility		$4,882.52	$8,832.86	$13,129.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,342.14 / $10,628.58 / $35,203.28	Professional		$5,342.14	$10,628.58	$35,203.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7,342.94 / $10,721.90 / $14,602.39	Facility		$7,342.94	$10,721.90	$14,602.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,983.00 / $10,721.90 / $14,385.06	Professional		$6,983.00	$10,721.90	$14,385.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,268.49 / $7,986.34 / $9,815.73	Professional		$4,268.49	$7,986.34	$9,815.73
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 $5,109.87 / $7,578.64 / $15,121.98	Professional		$5,109.87	$7,578.64	$15,121.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,468.90 / $9,454.29 / $11,122.70	Professional		$7,468.90	$9,454.29	$11,122.70