Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $4,883.37 / $6,830.73	Facility		$2,510.21	$4,883.37	$6,830.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,656.74 / $1,932.86 / $2,434.90	Professional		$1,656.74	$1,932.86	$2,434.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,619.00 / $3,012.25 / $3,273.75	Professional		$2,619.00	$3,012.25	$3,273.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,133.67 / $3,388.78 / $4,543.47	Professional		$2,133.67	$3,388.78	$4,543.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $3,239.25 / $6,426.14	Facility		$2,510.21	$3,239.25	$6,426.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,506.13 / $1,556.33 / $8,100.70	Professional		$1,506.13	$1,556.33	$8,100.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,012.25 / $3,514.29 / $5,480.42	Facility		$3,012.25	$3,514.29	$5,480.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,012.25 / $3,815.52 / $5,480.42	Professional		$3,012.25	$3,815.52	$5,480.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,442.42 / $2,510.21 / $4,480.72	Professional		$2,442.42	$2,510.21	$4,480.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,506.13 / $1,506.13 / $5,139.64	Professional		$1,506.13	$1,506.13	$5,139.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $2,510.21	Professional		$2,510.21	$2,510.21	$2,510.21