Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,815.84 / $3,733.07 / $6,617.72	Facility		$2,815.84	$3,733.07	$6,617.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,885.39 / $2,130.25 / $2,614.10	Professional		$1,885.39	$2,130.25	$2,614.10
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 $2,693.42 / $4,284.97 / $9,263.06	Professional		$2,693.42	$4,284.97	$9,263.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,442.87 / $2,940.70 / $6,537.66	Facility		$2,442.87	$2,940.70	$6,537.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,469.14 / $2,448.56 / $9,632.84	Professional		$1,469.14	$2,448.56	$9,632.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,938.27 / $4,489.68 / $7,112.90	Facility		$2,938.27	$4,489.68	$7,112.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,938.27 / $4,489.68 / $6,243.83	Professional		$2,938.27	$4,489.68	$6,243.83
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 $3,672.84 / $3,672.84 / $3,672.84	Facility		$3,672.84	$3,672.84	$3,672.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,469.14 / $1,469.14 / $2,522.02	Professional		$1,469.14	$1,469.14	$2,522.02
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