Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,126.19 / $4,136.31 / $5,785.76	Facility		$2,126.19	$4,136.31	$5,785.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,403.29 / $1,849.79 / $2,919.91	Professional		$1,403.29	$1,849.79	$2,919.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,553.55 / $3,861.96 / $4,827.46	Professional		$2,553.55	$3,861.96	$4,827.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,807.27 / $2,870.37 / $10,867.26	Professional		$1,807.27	$2,870.37	$10,867.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,126.19 / $2,743.72 / $5,443.07	Facility		$2,126.19	$2,743.72	$5,443.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,275.72 / $1,318.24 / $6,861.46	Professional		$1,275.72	$1,318.24	$6,861.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,551.44 / $3,231.82 / $4,379.97	Facility		$2,551.44	$3,231.82	$4,379.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,551.44 / $3,231.82 / $4,379.97	Professional		$2,551.44	$3,231.82	$4,379.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,126.19 / $2,126.19 / $3,795.27	Professional		$2,126.19	$2,126.19	$3,795.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,189.30 / $3,189.30 / $3,189.30	Facility		$3,189.30	$3,189.30	$3,189.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,275.72 / $1,275.72 / $3,933.47	Professional		$1,275.72	$1,275.72	$3,933.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,126.19 / $2,126.19 / $2,126.19	Professional		$2,126.19	$2,126.19	$2,126.19