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 $3,776.64 / $6,015.84 / $6,015.84	Professional		$3,776.64	$6,015.84	$6,015.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,192.60 / $11,051.99 / $12,116.79	Professional		$9,192.60	$11,051.99	$12,116.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,170.27 / $6,925.63 / $10,956.08	Professional		$4,170.27	$6,925.63	$10,956.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,244.00 / $9,264.39 / $12,280.08	Facility		$5,244.00	$9,264.39	$12,280.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,122.81 / $9,943.01 / $31,492.08	Professional		$5,122.81	$9,943.01	$31,492.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,457.13 / $9,927.14 / $12,541.08	Facility		$6,457.13	$9,927.14	$12,541.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,520.00 / $9,927.14 / $12,541.08	Professional		$6,520.00	$9,927.14	$12,541.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $7,930.10 / $11,137.50	Professional		$15.00	$7,930.10	$11,137.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,854.53 / $7,305.00	Facility		$2,126.00	$5,854.53	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,724.97 / $8,651.93 / $13,374.99	Professional		$4,724.97	$8,651.93	$13,374.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8,753.50 / $8,753.50 / $10,298.20	Professional		$8,753.50	$8,753.50	$10,298.20