Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $6,066.00 / $11,100.08	Facility		$4,277.00	$6,066.00	$11,100.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,321.92 / $3,693.08 / $4,710.14	Professional		$2,321.92	$3,693.08	$4,710.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,889.00 / $5,827.66 / $7,254.56	Professional		$4,889.00	$5,827.66	$7,254.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,552.76 / $3,975.18 / $9,287.65	Professional		$2,552.76	$3,975.18	$9,287.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,693.08 / $6,099.90 / $11,688.00	Facility		$3,693.08	$6,099.90	$11,688.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,722.59 / $5,204.14 / $19,353.91	Professional		$2,722.59	$5,204.14	$19,353.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,689.45 / $6,090.93 / $7,686.53	Facility		$4,689.45	$6,090.93	$7,686.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,946.38 / $5,827.66 / $7,686.53	Professional		$3,946.38	$5,827.66	$7,686.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,832.95 / $4,380.52 / $5,853.02	Professional		$2,832.95	$4,380.52	$5,853.02
United Facility/Professional Facility Modifier Low / Median / High Price $5,707.00 / $10,398.00 / $16,100.26	Facility		$5,707.00	$10,398.00	$16,100.26
United Facility/Professional Professional Modifier Low / Median / High Price $2,596.57 / $3,956.67 / $7,418.76	Professional		$2,596.57	$3,956.67	$7,418.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,242.93 / $5,370.80 / $6,318.60	Professional		$4,242.93	$5,370.80	$6,318.60