Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,568.51 / $5,652.09 / $5,652.09	Professional		$3,568.51	$5,652.09	$5,652.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,066.74 / $9,357.75 / $11,304.93	Professional		$8,066.74	$9,357.75	$11,304.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,857.76 / $6,106.70 / $9,567.75	Professional		$3,857.76	$6,106.70	$9,567.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,049.04 / $7,474.57 / $9,768.23	Facility		$5,049.04	$7,474.57	$9,768.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,550.47 / $9,176.81 / $29,534.24	Professional		$4,550.47	$9,176.81	$29,534.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,206.79 / $8,139.52 / $11,778.46	Facility		$5,206.79	$8,139.52	$11,778.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,206.79 / $8,139.52 / $11,778.46	Professional		$5,206.79	$8,139.52	$11,778.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $6,146.60 / $10,575.40	Professional		$11.00	$6,146.60	$10,575.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,239.16 / $7,811.66 / $12,344.33	Professional		$4,239.16	$7,811.66	$12,344.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8,169.50 / $8,169.50 / $9,611.10	Professional		$8,169.50	$8,169.50	$9,611.10