Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,126.19 / $4,136.31 / $5,785.76	Facility		$2,126.19	$4,136.31	$5,785.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,403.29 / $1,849.79 / $2,062.41	Professional		$1,403.29	$1,849.79	$2,062.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,551.44 / $3,861.96 / $4,827.46	Professional		$2,551.44	$3,861.96	$4,827.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,807.27 / $2,870.37 / $3,848.42	Professional		$1,807.27	$2,870.37	$3,848.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,019.89 / $2,766.82 / $5,847.98	Facility		$2,019.89	$2,766.82	$5,847.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,275.72 / $1,353.33 / $8,305.52	Professional		$1,275.72	$1,353.33	$8,305.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,551.44 / $3,720.85 / $5,486.76	Facility		$2,551.44	$3,720.85	$5,486.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,551.44 / $3,720.85 / $5,847.98	Professional		$2,551.44	$3,720.85	$5,847.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,126.19 / $2,126.19 / $3,795.27	Professional		$2,126.19	$2,126.19	$3,795.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,275.72 / $1,275.72 / $4,353.39	Professional		$1,275.72	$1,275.72	$4,353.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,126.19 / $2,126.19 / $2,126.19	Professional		$2,126.19	$2,126.19	$2,126.19