Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $8,530.53 / $13,007.20	Facility		$4,780.00	$8,530.53	$13,007.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,680.60 / $3,680.60 / $4,636.60	Professional		$3,680.60	$3,680.60	$4,636.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,492.49 / $8,681.59 / $10,851.98	Professional		$5,492.49	$8,681.59	$10,851.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,063.00 / $7,717.26 / $11,188.09	Professional		$4,063.00	$7,717.26	$11,188.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,680.60 / $6,168.26 / $18,763.18	Facility		$3,680.60	$6,168.26	$18,763.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,868.00 / $4,780.00 / $15,425.54	Professional		$2,868.00	$4,780.00	$15,425.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,740.74 / $8,764.59 / $12,236.80	Facility		$5,740.74	$8,764.59	$12,236.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,736.00 / $8,764.59 / $12,189.00	Professional		$5,736.00	$8,764.59	$12,189.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $8,532.29	Professional		$4,780.00	$4,780.00	$8,532.29
United Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $4,780.00	Facility		$4,780.00	$4,780.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,868.00 / $2,868.00 / $10,420.40	Professional		$2,868.00	$2,868.00	$10,420.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,776.20 / $4,780.00 / $4,780.00	Professional		$3,776.20	$4,780.00	$4,780.00