Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,198.35 / $4,276.68 / $5,982.11	Facility		$2,198.35	$4,276.68	$5,982.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,912.56 / $1,912.56 / $2,132.40	Professional		$1,912.56	$1,912.56	$2,132.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,640.19 / $3,992.52 / $4,990.66	Professional		$2,640.19	$3,992.52	$4,990.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,868.60 / $2,967.77 / $3,979.01	Professional		$1,868.60	$2,967.77	$3,979.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,198.35 / $2,836.82 / $5,627.78	Facility		$2,198.35	$2,836.82	$5,627.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,319.01 / $1,362.98 / $7,094.30	Professional		$1,319.01	$1,362.98	$7,094.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,638.02 / $3,077.69 / $4,528.60	Facility		$2,638.02	$3,077.69	$4,528.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,638.02 / $3,341.49 / $4,528.60	Professional		$2,638.02	$3,341.49	$4,528.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,198.35 / $2,198.35 / $3,924.05	Professional		$2,198.35	$2,198.35	$3,924.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,319.01 / $1,319.01 / $4,501.12	Professional		$1,319.01	$1,319.01	$4,501.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,198.35 / $2,198.35 / $2,198.35	Professional		$2,198.35	$2,198.35	$2,198.35