Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,489.63 / $6,788.76 / $9,495.93	Facility		$3,489.63	$6,788.76	$9,495.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,035.98 / $3,035.98 / $3,384.94	Professional		$3,035.98	$3,035.98	$3,384.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,640.88 / $4,187.56 / $4,551.09	Professional		$3,640.88	$4,187.56	$4,551.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,966.19 / $4,711.00 / $6,316.23	Professional		$2,966.19	$4,711.00	$6,316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,489.63 / $4,503.13 / $8,933.45	Facility		$3,489.63	$4,503.13	$8,933.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,093.78 / $2,163.57 / $11,261.38	Professional		$2,093.78	$2,163.57	$11,261.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,187.56 / $4,885.47 / $7,188.64	Facility		$4,187.56	$4,885.47	$7,188.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,187.56 / $4,780.79 / $7,188.64	Professional		$4,187.56	$4,780.79	$7,188.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,395.41 / $3,489.63 / $6,228.99	Professional		$3,395.41	$3,489.63	$6,228.99
United Facility/Professional Professional Modifier Low / Median / High Price $2,093.78 / $2,093.78 / $7,145.02	Professional		$2,093.78	$2,093.78	$7,145.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,489.63 / $3,489.63 / $3,489.63	Professional		$3,489.63	$3,489.63	$3,489.63