Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,754.05 / $13,993.30 / $19,573.40	Facility		$7,754.05	$13,993.30	$19,573.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,747.38 / $5,538.61 / $6,977.21	Professional		$4,747.38	$5,538.61	$6,977.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,638.73 / $13,064.49 / $16,330.61	Professional		$8,638.73	$13,064.49	$16,330.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6,114.05 / $9,350.90 / $12,587.75	Professional		$6,114.05	$9,350.90	$12,587.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $7,193.00 / $9,282.07 / $18,414.08	Facility		$7,193.00	$9,282.07	$18,414.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,315.80 / $6,473.70 / $27,026.05	Professional		$4,315.80	$6,473.70	$27,026.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8,631.60 / $10,070.20 / $15,764.07	Facility		$8,631.60	$10,070.20	$15,764.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,631.60 / $13,154.20 / $18,773.73	Professional		$8,631.60	$13,154.20	$18,773.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,193.00 / $7,193.00 / $12,839.50	Professional		$7,193.00	$7,193.00	$12,839.50
United Facility/Professional Professional Modifier Low / Median / High Price $4,315.80 / $4,315.80 / $14,727.67	Professional		$4,315.80	$4,315.80	$14,727.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,193.00 / $7,193.00 / $7,193.00	Professional		$7,193.00	$7,193.00	$7,193.00