Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $17,378.01	Facility		$4,677.35	$4,677.35	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,897.79 / $5,888.44	Professional		$4,677.35	$4,897.79	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,248.07 / $6,606.93	Professional		$5,011.87	$5,248.07	$6,606.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,248.07 / $8,317.64	Professional		$3,890.45	$5,248.07	$8,317.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,128.61 / $7,943.28	Facility		$3,388.44	$5,128.61	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,370.32 / $23,988.33	Professional		$4,897.79	$5,370.32	$23,988.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,888.44 / $6,918.31	Professional		$4,677.35	$5,888.44	$6,918.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $6,918.31 / $12,022.64	Professional		$3,630.78	$6,918.31	$12,022.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,025.60 / $11,748.98	Professional		$5,495.41	$6,025.60	$11,748.98
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility		$7,585.78	$7,585.78	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,754.40	Professional		$4,897.79	$4,897.79	$5,754.40