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 $1,616.05 / $1,885.39 / $2,375.10	Professional		$1,616.05	$1,885.39	$2,375.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,940.70 / $4,447.53 / $5,559.41	Professional		$2,940.70	$4,447.53	$5,559.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,657.22 / $3,852.30 / $4,431.89	Professional		$2,657.22	$3,852.30	$4,431.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $3,159.70 / $6,268.31	Facility		$2,448.56	$3,159.70	$6,268.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,469.14 / $2,203.69 / $9,199.92	Professional		$1,469.14	$2,203.69	$9,199.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,938.27 / $3,427.98 / $5,366.23	Facility		$2,938.27	$3,427.98	$5,366.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,938.27 / $4,477.80 / $6,390.74	Professional		$2,938.27	$4,477.80	$6,390.74
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 Professional Modifier Low / Median / High Price $1,469.14 / $1,469.14 / $5,337.86	Professional		$1,469.14	$1,469.14	$5,337.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $2,448.56	Professional		$2,448.56	$2,448.56	$2,448.56