Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,310.80 / $4,170.17 / $5,833.11	Facility		$2,310.80	$4,170.17	$5,833.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,650.57 / $1,650.57 / $2,079.29	Professional		$1,650.57	$1,650.57	$2,079.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,463.13 / $3,893.30 / $4,866.62	Professional		$2,463.13	$3,893.30	$4,866.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,822.06 / $3,046.47 / $3,751.30	Professional		$1,822.06	$3,046.47	$3,751.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,650.57 / $2,766.17 / $10,182.10	Facility		$1,650.57	$2,766.17	$10,182.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $361.26 / $1,286.16 / $4,930.28	Professional		$361.26	$1,286.16	$4,930.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,189.75 / $2,798.29 / $4,697.88	Facility		$1,189.75	$2,798.29	$4,697.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,189.75 / $2,786.68 / $4,697.88	Professional		$1,189.75	$2,786.68	$4,697.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,143.60 / $2,143.60 / $3,826.33	Professional		$2,143.60	$2,143.60	$3,826.33
United Facility/Professional Professional Modifier Low / Median / High Price $383.24 / $1,286.16 / $2,207.91	Professional		$383.24	$1,286.16	$2,207.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,693.44 / $2,143.60 / $2,143.60	Professional		$1,693.44	$2,143.60	$2,143.60