Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,916.60 / $5,673.96 / $7,936.59	Facility		$2,916.60	$5,673.96	$7,936.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,882.69 / $7,882.69 / $7,882.69	Professional		$7,882.69	$7,882.69	$7,882.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,499.92 / $5,297.47 / $6,621.84	Professional		$3,499.92	$5,297.47	$6,621.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,479.11 / $3,937.41 / $14,907.07	Professional		$2,479.11	$3,937.41	$14,907.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,916.60 / $3,763.68 / $7,466.50	Facility		$2,916.60	$3,763.68	$7,466.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,749.96 / $1,957.04 / $10,958.46	Professional		$1,749.96	$1,957.04	$10,958.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,499.92 / $4,233.10 / $6,391.98	Facility		$3,499.92	$4,233.10	$6,391.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,499.92 / $5,333.73 / $7,612.33	Professional		$3,499.92	$5,333.73	$7,612.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,916.60 / $2,916.60 / $5,206.13	Professional		$2,916.60	$2,916.60	$5,206.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,749.96 / $1,749.96 / $5,395.71	Professional		$1,749.96	$1,749.96	$5,395.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,916.60 / $2,916.60 / $2,916.60	Professional		$2,916.60	$2,916.60	$2,916.60