Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,025.60 / $7,943.28	Facility		$4,265.80	$6,025.60	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,570.88 / $12,022.64	Professional		$3,801.89	$4,570.88	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $10,471.29 / $11,748.98	Professional		$9,332.54	$10,471.29	$11,748.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $7,413.10 / $13,182.57	Professional		$4,168.69	$7,413.10	$13,182.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,943.28 / $12,022.64	Facility		$3,388.44	$7,943.28	$12,022.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $8,912.51 / $31,622.78	Professional		$4,897.79	$8,912.51	$31,622.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $10,471.29 / $15,135.61	Professional		$9,772.37	$10,471.29	$15,135.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $12,022.64 / $12,022.64	Professional		$8,709.64	$12,022.64	$12,022.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $8,709.64 / $11,220.18	Professional		$15.14	$8,709.64	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,918.31 / $13,489.63	Professional		$4,570.88	$6,918.31	$13,489.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $10,232.93	Professional		$8,709.64	$8,709.64	$10,232.93