Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,414.31 / $5,414.31 / $5,902.08	Facility		$5,414.31	$5,414.31	$5,902.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,639.46 / $2,639.46 / $2,942.84	Professional		$2,639.46	$2,639.46	$2,942.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,486.13 / $3,921.27 / $5,825.01	Professional		$3,486.13	$3,921.27	$5,825.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,578.78 / $4,095.71 / $5,309.26	Professional		$2,578.78	$4,095.71	$5,309.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,336.07 / $3,921.27 / $14,410.84	Facility		$2,336.07	$3,921.27	$14,410.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,820.32 / $3,033.86 / $15,108.62	Professional		$1,820.32	$3,033.86	$15,108.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,640.63 / $3,944.02 / $6,643.06	Facility		$3,640.63	$3,944.02	$6,643.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,640.63 / $3,944.02 / $6,249.75	Professional		$3,640.63	$3,944.02	$6,249.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,033.86 / $3,033.86 / $5,415.44	Professional		$3,033.86	$3,033.86	$5,415.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,820.32 / $1,880.99 / $9,790.57	Professional		$1,820.32	$1,880.99	$9,790.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,033.86 / $3,033.86 / $3,033.86	Professional		$3,033.86	$3,033.86	$3,033.86