Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,709.95 / $5,271.95 / $7,374.26	Facility		$2,709.95	$5,271.95	$7,374.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,357.66 / $2,357.66 / $2,628.65	Professional		$2,357.66	$2,357.66	$2,628.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,254.62 / $4,922.10 / $6,152.64	Professional		$3,254.62	$4,922.10	$6,152.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,303.46 / $3,658.43 / $4,905.01	Professional		$2,303.46	$3,658.43	$4,905.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,709.95 / $3,497.01 / $6,937.47	Facility		$2,709.95	$3,497.01	$6,937.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,625.97 / $1,680.17 / $8,745.28	Professional		$1,625.97	$1,680.17	$8,745.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,251.94 / $3,793.93 / $5,582.50	Facility		$3,251.94	$3,793.93	$5,582.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,251.94 / $4,119.12 / $5,582.50	Professional		$3,251.94	$4,119.12	$5,582.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,709.95 / $2,709.95 / $4,837.26	Professional		$2,709.95	$2,709.95	$4,837.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,625.97 / $1,625.97 / $8,745.28	Professional		$1,625.97	$1,625.97	$8,745.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,709.95 / $2,709.95 / $2,709.95	Professional		$2,709.95	$2,709.95	$2,709.95