Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,147.33 / $5,679.80 / $7,944.75	Facility		$3,147.33	$5,679.80	$7,944.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,248.09 / $2,248.09 / $2,832.01	Professional		$2,248.09	$2,248.09	$2,832.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,354.80 / $5,302.69 / $6,628.37	Professional		$3,354.80	$5,302.69	$6,628.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,481.66 / $4,379.39 / $6,192.73	Professional		$2,481.66	$4,379.39	$6,192.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,248.09 / $3,767.54 / $11,460.45	Facility		$2,248.09	$3,767.54	$11,460.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,751.76 / $2,919.60 / $9,421.84	Professional		$1,751.76	$2,919.60	$9,421.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,506.42 / $5,353.38 / $7,474.18	Facility		$3,506.42	$5,353.38	$7,474.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,503.52 / $5,353.38 / $7,444.98	Professional		$3,503.52	$5,353.38	$7,444.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $5,211.49	Professional		$2,919.60	$2,919.60	$5,211.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,751.76 / $1,751.76 / $6,364.73	Professional		$1,751.76	$1,751.76	$6,364.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,306.48 / $2,919.60 / $2,919.60	Professional		$2,306.48	$2,919.60	$2,919.60