Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,648.90 / $1,648.90 / $1,648.90	Facility		$1,648.90	$1,648.90	$1,648.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,134.90 / $4,565.49 / $8,905.00	Professional		$2,134.90	$4,565.49	$8,905.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,569.04 / $5,353.20 / $6,691.50	Professional		$3,569.04	$5,353.20	$6,691.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,284.10 / $3,107.72 / $4,594.78	Professional		$2,284.10	$3,107.72	$4,594.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,398.46 / $3,813.46 / $6,036.70	Facility		$2,398.46	$3,813.46	$6,036.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,380.12 / $4,399.22 / $18,209.52	Professional		$2,380.12	$4,399.22	$18,209.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,097.00 / $4,399.22 / $5,690.01	Facility		$3,097.00	$4,399.22	$5,690.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,835.00 / $4,399.22 / $5,944.61	Professional		$2,835.00	$4,399.22	$5,944.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,510.51 / $4,094.68 / $5,142.51	Professional		$2,510.51	$4,094.68	$5,142.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,219.64 / $3,813.52 / $5,629.50	Professional		$2,219.64	$3,813.52	$5,629.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,177.10 / $3,177.10 / $3,737.70	Professional		$3,177.10	$3,177.10	$3,737.70