Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,950.56 / $10,738.60 / $15,020.90	Facility		$5,950.56	$10,738.60	$15,020.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,643.20 / $4,250.39 / $5,354.40	Professional		$3,643.20	$4,250.39	$5,354.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,629.47 / $9,889.92 / $12,362.40	Professional		$6,629.47	$9,889.92	$12,362.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,989.50 / $9,528.75 / $13,478.00	Professional		$5,989.50	$9,528.75	$13,478.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,445.00 / $7,078.50 / $14,080.00	Facility		$5,445.00	$7,078.50	$14,080.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,300.00 / $4,950.00 / $20,664.99	Professional		$3,300.00	$4,950.00	$20,664.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6,534.00 / $7,623.00 / $12,053.72	Facility		$6,534.00	$7,623.00	$12,053.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,534.00 / $10,058.12 / $14,355.00	Professional		$6,534.00	$10,058.12	$14,355.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,409.60 / $5,445.00 / $9,719.33	Professional		$5,409.60	$5,445.00	$9,719.33
United Facility/Professional Professional Modifier Low / Median / High Price $3,300.00 / $3,300.00 / $11,261.25	Professional		$3,300.00	$3,300.00	$11,261.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,445.00 / $5,445.00 / $5,445.00	Professional		$5,445.00	$5,445.00	$5,445.00