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 $3,385.24 / $5,390.63 / $5,390.63	Professional		$3,385.24	$5,390.63	$5,390.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,247.54 / $9,550.95 / $10,853.36	Professional		$8,247.54	$9,550.95	$10,853.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,734.18 / $6,178.69 / $9,287.48	Professional		$3,734.18	$6,178.69	$9,287.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,244.00 / $8,301.57 / $10,853.36	Facility		$5,244.00	$8,301.57	$10,853.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,358.72 / $8,808.23 / $28,223.44	Professional		$4,358.72	$8,808.23	$28,223.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,764.79 / $8,628.56 / $11,239.66	Facility		$5,764.79	$8,628.56	$11,239.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,454.57 / $8,628.56 / $10,930.94	Professional		$5,454.57	$8,628.56	$10,930.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $7,102.70 / $9,983.00	Professional		$15.00	$7,102.70	$9,983.00
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 $4,177.10 / $7,665.95 / $11,824.13	Professional		$4,177.10	$7,665.95	$11,824.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,842.20 / $7,842.20 / $9,226.10	Professional		$7,842.20	$7,842.20	$9,226.10