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 $3,072.44 / $4,892.87 / $4,892.87	Professional		$3,072.44	$4,892.87	$4,892.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,484.81 / $8,946.02 / $9,851.71	Professional		$7,484.81	$8,946.02	$9,851.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,390.17 / $5,608.57 / $9,566.71	Professional		$3,390.17	$5,608.57	$9,566.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,892.87 / $7,535.02 / $9,988.16	Facility		$4,892.87	$7,535.02	$9,988.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,119.10 / $8,073.45 / $25,619.68	Professional		$4,119.10	$8,073.45	$25,619.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,246.26 / $8,073.45 / $10,199.07	Facility		$5,246.26	$8,073.45	$10,199.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,246.26 / $8,073.45 / $10,199.07	Professional		$5,246.26	$8,073.45	$10,199.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $6,457.20 / $9,058.00	Professional		$15.00	$6,457.20	$9,058.00
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 $3,789.68 / $6,788.46 / $10,727.42	Professional		$3,789.68	$6,788.46	$10,727.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,118.90 / $7,118.90 / $8,375.20	Professional		$7,118.90	$7,118.90	$8,375.20