Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,574.65 / $5,008.74 / $7,006.08	Facility		$2,574.65	$5,008.74	$7,006.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,699.27 / $2,239.94 / $2,497.41	Professional		$1,699.27	$2,239.94	$2,497.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,092.14 / $4,676.01 / $5,845.01	Professional		$3,092.14	$4,676.01	$5,845.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,188.44 / $3,475.78 / $4,660.12	Professional		$2,188.44	$3,475.78	$4,660.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,574.65 / $3,322.41 / $6,591.10	Facility		$2,574.65	$3,322.41	$6,591.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,544.79 / $1,596.28 / $8,308.65	Professional		$1,544.79	$1,596.28	$8,308.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,089.58 / $3,604.51 / $5,303.78	Facility		$3,089.58	$3,604.51	$5,303.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,089.58 / $3,913.47 / $5,303.78	Professional		$3,089.58	$3,913.47	$5,303.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,574.65 / $2,574.65 / $4,595.75	Professional		$2,574.65	$2,574.65	$4,595.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,544.79 / $1,544.79 / $5,271.60	Professional		$1,544.79	$1,544.79	$5,271.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,574.65 / $2,574.65 / $2,574.65	Professional		$2,574.65	$2,574.65	$2,574.65