Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,833.91 / $8,833.91 / $9,629.75	Facility		$8,833.91	$8,833.91	$9,629.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,888.11 / $3,243.18 / $9,648.34	Professional		$2,888.11	$3,243.18	$9,648.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,136.26 / $3,392.89 / $4,398.18	Professional		$2,136.26	$3,392.89	$4,398.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,267.23 / $3,811.50 / $11,937.94	Facility		$3,267.23	$3,811.50	$11,937.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,507.95 / $2,588.65 / $13,612.50	Professional		$1,507.95	$2,588.65	$13,612.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,015.90 / $3,267.23 / $10,197.00	Facility		$3,015.90	$3,267.23	$10,197.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,015.90 / $4,683.10 / $9,741.60	Professional		$3,015.90	$4,683.10	$9,741.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,513.25 / $2,513.25 / $4,486.14	Professional		$2,513.25	$2,513.25	$4,486.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,507.95 / $1,507.95 / $6,356.01	Professional		$1,507.95	$1,507.95	$6,356.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,513.25 / $2,513.25 / $2,513.25	Professional		$2,513.25	$2,513.25	$2,513.25