Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,382.53 / $15,127.50 / $21,159.90	Facility		$8,382.53	$15,127.50	$21,159.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,132.16 / $5,987.52 / $7,542.72	Professional		$5,132.16	$5,987.52	$7,542.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,338.90 / $14,123.33 / $17,654.16	Professional		$9,338.90	$14,123.33	$17,654.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6,609.60 / $9,601.50 / $13,608.00	Professional		$6,609.60	$9,601.50	$13,608.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $7,776.00 / $9,338.90 / $19,906.56	Facility		$7,776.00	$9,338.90	$19,906.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,665.60 / $4,949.42 / $29,216.54	Professional		$4,665.60	$4,949.42	$29,216.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9,331.20 / $10,886.40 / $19,906.56	Facility		$9,331.20	$10,886.40	$19,906.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9,331.20 / $10,184.08 / $20,295.36	Professional		$9,331.20	$10,184.08	$20,295.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,776.00 / $7,776.00 / $13,880.16	Professional		$7,776.00	$7,776.00	$13,880.16
United Facility/Professional Professional Modifier Low / Median / High Price $4,665.60 / $4,665.60 / $19,665.50	Professional		$4,665.60	$4,665.60	$19,665.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,776.00 / $7,776.00 / $7,776.00	Professional		$7,776.00	$7,776.00	$7,776.00