Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,706.00 / $4,883.37 / $6,830.73	Facility		$2,706.00	$4,883.37	$6,830.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,656.74 / $2,183.88 / $2,434.90	Professional		$1,656.74	$2,183.88	$2,434.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,014.74 / $4,559.16 / $5,698.94	Professional		$3,014.74	$4,559.16	$5,698.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,761.23 / $4,270.58 / $4,543.47	Professional		$2,761.23	$4,270.58	$4,543.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,510.21 / $3,239.25 / $6,426.14	Facility		$2,510.21	$3,239.25	$6,426.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,506.13 / $2,510.21 / $12,164.74	Professional		$1,506.13	$2,510.21	$12,164.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,012.25 / $5,114.13 / $8,102.22	Facility		$3,012.25	$5,114.13	$8,102.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,012.25 / $5,114.13 / $6,401.04	Professional		$3,012.25	$5,114.13	$6,401.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $4,480.72	Professional		$2,510.21	$2,510.21	$4,480.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,506.13 / $1,506.13 / $6,080.28	Professional		$1,506.13	$1,506.13	$6,080.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $2,510.21	Professional		$2,510.21	$2,510.21	$2,510.21