Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $4,763.43 / $6,662.97	Facility		$2,448.56	$4,763.43	$6,662.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,616.05 / $1,885.39 / $2,375.10	Professional		$1,616.05	$1,885.39	$2,375.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,938.27 / $4,447.53 / $5,559.41	Professional		$2,938.27	$4,447.53	$5,559.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,081.28 / $3,305.56 / $4,431.89	Professional		$2,081.28	$3,305.56	$4,431.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $3,164.76 / $6,268.31	Facility		$2,448.56	$3,164.76	$6,268.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,469.14 / $1,558.51 / $9,564.75	Professional		$1,469.14	$1,558.51	$9,564.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,938.27 / $4,284.97 / $5,729.63	Facility		$2,938.27	$4,284.97	$5,729.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,938.27 / $4,284.97 / $5,729.63	Professional		$2,938.27	$4,284.97	$5,729.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $4,370.68	Professional		$2,448.56	$2,448.56	$4,370.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,469.14 / $1,469.14 / $5,013.43	Professional		$1,469.14	$1,469.14	$5,013.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $2,448.56	Professional		$2,448.56	$2,448.56	$2,448.56