Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,359.05 / $6,061.88 / $8,479.20	Facility		$3,359.05	$6,061.88	$8,479.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,056.56 / $2,710.92 / $3,022.52	Professional		$2,056.56	$2,710.92	$3,022.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,742.28 / $5,659.78 / $7,074.72	Professional		$3,742.28	$5,659.78	$7,074.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,936.01 / $4,256.47 / $5,453.00	Professional		$2,936.01	$4,256.47	$5,453.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,116.00 / $4,020.99 / $7,166.80	Facility		$3,116.00	$4,020.99	$7,166.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,869.60 / $3,116.00 / $11,980.68	Professional		$1,869.60	$3,116.00	$11,980.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,739.20 / $5,713.50 / $6,828.98	Facility		$3,739.20	$5,713.50	$6,828.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,739.20 / $5,713.50 / $7,032.89	Professional		$3,739.20	$5,713.50	$7,032.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,116.00 / $3,116.00 / $5,562.06	Professional		$3,116.00	$3,116.00	$5,562.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,869.60 / $1,869.60 / $6,792.88	Professional		$1,869.60	$1,869.60	$6,792.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,116.00 / $3,116.00 / $3,116.00	Professional		$3,116.00	$3,116.00	$3,116.00