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 Facility Modifier Low / Median / High Price $7,530.63 / $7,756.55 / $7,982.47	Facility		$7,530.63	$7,756.55	$7,982.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,012.25 / $4,559.16 / $5,698.94	Professional		$3,012.25	$4,559.16	$5,698.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,133.67 / $3,388.78 / $12,829.97	Professional		$2,133.67	$3,388.78	$12,829.97
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 / $1,871.50 / $10,967.38	Professional		$1,506.13	$1,871.50	$10,967.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,012.25 / $4,590.55 / $7,756.55	Facility		$3,012.25	$4,590.55	$7,756.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,012.25 / $4,590.55 / $7,112.26	Professional		$3,012.25	$4,590.55	$7,112.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $4,480.72	Professional		$2,510.21	$2,510.21	$4,480.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,506.13 / $1,506.13 / $5,710.72	Professional		$1,506.13	$1,506.13	$5,710.72
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