Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,437.98 / $6,688.28 / $9,355.37	Facility		$3,437.98	$6,688.28	$9,355.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,269.07 / $2,647.25 / $3,334.84	Professional		$2,269.07	$2,647.25	$3,334.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,125.58 / $4,125.58 / $4,125.58	Facility		$4,125.58	$4,125.58	$4,125.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,469.37 / $6,244.03 / $7,805.04	Professional		$4,469.37	$6,244.03	$7,805.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,922.28 / $4,641.27 / $6,222.74	Professional		$2,922.28	$4,641.27	$6,222.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,647.25 / $4,469.37 / $8,801.23	Facility		$2,647.25	$4,469.37	$8,801.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,062.79 / $2,062.79 / $13,800.74	Professional		$2,062.79	$2,062.79	$13,800.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,125.58 / $4,469.37 / $8,044.87	Facility		$4,125.58	$4,469.37	$8,044.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,125.58 / $4,469.37 / $8,044.87	Professional		$4,125.58	$4,469.37	$8,044.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,437.98 / $3,437.98 / $6,136.79	Professional		$3,437.98	$3,437.98	$6,136.79
United Facility/Professional Professional Modifier Low / Median / High Price $2,062.79 / $2,062.79 / $7,039.26	Professional		$2,062.79	$2,062.79	$7,039.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,437.98 / $3,437.98 / $3,437.98	Professional		$3,437.98	$3,437.98	$3,437.98