Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,583.27 / $6,466.53 / $9,045.20	Facility		$3,583.27	$6,466.53	$9,045.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,559.48 / $2,559.48 / $3,224.28	Professional		$2,559.48	$2,559.48	$3,224.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,819.42 / $6,037.09 / $7,546.37	Professional		$3,819.42	$6,037.09	$7,546.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,825.40 / $5,484.60 / $9,495.60	Professional		$2,825.40	$5,484.60	$9,495.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,559.48 / $4,289.39 / $13,047.87	Facility		$2,559.48	$4,289.39	$13,047.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,994.40 / $3,324.00 / $10,726.88	Professional		$1,994.40	$3,324.00	$10,726.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,992.10 / $6,094.89 / $8,509.44	Facility		$3,992.10	$6,094.89	$8,509.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,988.80 / $6,094.89 / $8,476.20	Professional		$3,988.80	$6,094.89	$8,476.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,324.00 / $3,324.00 / $5,933.34	Professional		$3,324.00	$3,324.00	$5,933.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,324.00 / $3,324.00 / $7,645.20	Facility		$3,324.00	$3,324.00	$7,645.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,994.40 / $1,994.40 / $7,645.20	Professional		$1,994.40	$1,994.40	$7,645.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,625.96 / $3,324.00 / $3,324.00	Professional		$2,625.96	$3,324.00	$3,324.00