Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,967.22 / $3,550.14 / $4,965.84	Facility		$1,967.22	$3,550.14	$4,965.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,405.16 / $1,587.65 / $2,349.14	Professional		$1,405.16	$1,587.65	$2,349.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,191.67 / $3,314.92 / $4,143.64	Professional		$2,191.67	$3,314.92	$4,143.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,007.37 / $3,145.57 / $3,303.03	Professional		$2,007.37	$3,145.57	$3,303.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,824.88 / $2,374.71 / $4,975.21	Facility		$1,824.88	$2,374.71	$4,975.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,094.93 / $1,879.63 / $9,124.40	Professional		$1,094.93	$1,879.63	$9,124.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,189.86 / $3,717.89 / $5,105.20	Facility		$2,189.86	$3,717.89	$5,105.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,191.67 / $3,717.89 / $4,975.21	Professional		$2,191.67	$3,717.89	$4,975.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,824.88 / $1,824.88 / $3,257.41	Professional		$1,824.88	$1,824.88	$3,257.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,094.93 / $1,094.93 / $4,420.26	Professional		$1,094.93	$1,094.93	$4,420.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,824.88 / $1,824.88 / $1,824.88	Professional		$1,824.88	$1,824.88	$1,824.88