Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,639.55 / $4,763.43 / $6,662.97	Facility		$2,639.55	$4,763.43	$6,662.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,885.39 / $1,885.39 / $2,375.10	Professional		$1,885.39	$1,885.39	$2,375.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,813.77 / $4,447.53 / $5,559.41	Professional		$2,813.77	$4,447.53	$5,559.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,081.28 / $3,672.84 / $4,431.89	Professional		$2,081.28	$3,672.84	$4,431.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,885.39 / $3,159.70 / $11,630.66	Facility		$1,885.39	$3,159.70	$11,630.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $361.26 / $1,469.14 / $5,631.69	Professional		$361.26	$1,469.14	$5,631.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,189.75 / $3,196.38 / $5,366.23	Facility		$1,189.75	$3,196.38	$5,366.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,189.75 / $3,183.13 / $5,366.23	Professional		$1,189.75	$3,183.13	$5,366.23
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 Facility Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $2,448.56	Facility		$2,448.56	$2,448.56	$2,448.56
United Facility/Professional Professional Modifier Low / Median / High Price $383.24 / $1,469.14 / $4,529.84	Professional		$383.24	$1,469.14	$4,529.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,934.36 / $2,448.56 / $2,448.56	Professional		$1,934.36	$2,448.56	$2,448.56