Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,175.09 / $7,534.55 / $10,539.10	Facility		$4,175.09	$7,534.55	$10,539.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,556.17 / $3,369.51 / $3,756.81	Professional		$2,556.17	$3,369.51	$3,756.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,997.84 / $7,034.57 / $8,793.21	Professional		$4,997.84	$7,034.57	$8,793.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,292.05 / $4,958.78 / $6,777.75	Professional		$3,292.05	$4,958.78	$6,777.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,679.35 / $4,997.84 / $8,907.90	Facility		$3,679.35	$4,997.84	$8,907.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,876.20 / $3,873.00 / $13,125.46	Professional		$1,876.20	$3,873.00	$13,125.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,647.60 / $6,823.71 / $8,488.01	Facility		$4,647.60	$6,823.71	$8,488.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,647.60 / $6,779.14 / $8,488.01	Professional		$4,647.60	$6,779.14	$8,488.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $6,913.31	Professional		$3,873.00	$3,873.00	$6,913.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,809.50 / $5,809.50 / $5,809.50	Facility		$5,809.50	$5,809.50	$5,809.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,876.20 / $2,323.80 / $7,165.05	Professional		$1,876.20	$2,323.80	$7,165.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $4,256.00	Professional		$3,873.00	$3,873.00	$4,256.00