Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,938.01 / $3,770.22 / $5,273.68	Facility		$1,938.01	$3,770.22	$5,273.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,279.08 / $1,492.27 / $1,879.87	Professional		$1,279.08	$1,492.27	$1,879.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,325.61 / $3,519.90 / $4,399.87	Professional		$2,325.61	$3,519.90	$4,399.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,647.31 / $2,616.31 / $9,905.39	Professional		$1,647.31	$2,616.31	$9,905.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,938.01 / $2,500.86 / $4,961.31	Facility		$1,938.01	$2,500.86	$4,961.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,162.81 / $1,300.40 / $7,281.63	Professional		$1,162.81	$1,300.40	$7,281.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,325.61 / $2,942.61 / $4,247.32	Facility		$2,325.61	$2,942.61	$4,247.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,325.61 / $3,544.14 / $5,058.21	Professional		$2,325.61	$3,544.14	$5,058.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,938.01 / $1,938.01 / $3,459.35	Professional		$1,938.01	$1,938.01	$3,459.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,162.81 / $1,162.81 / $3,968.08	Professional		$1,162.81	$1,162.81	$3,968.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,938.01 / $1,938.01 / $1,938.01	Professional		$1,938.01	$1,938.01	$1,938.01