Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,094.94 / $5,585.26 / $7,812.51	Facility		$3,094.94	$5,585.26	$7,812.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,894.86 / $2,497.77 / $2,784.87	Professional		$1,894.86	$2,497.77	$2,784.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,448.05 / $5,214.57 / $6,518.21	Professional		$3,448.05	$5,214.57	$6,518.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,440.35 / $3,732.30 / $5,024.25	Professional		$2,440.35	$3,732.30	$5,024.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,871.00 / $3,704.83 / $6,603.30	Facility		$2,871.00	$3,704.83	$6,603.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,276.07 / $2,871.00 / $8,151.78	Professional		$1,276.07	$2,871.00	$8,151.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,445.20 / $4,167.97 / $6,292.05	Facility		$3,445.20	$4,167.97	$6,292.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,445.20 / $4,226.96 / $6,292.05	Professional		$3,445.20	$4,226.96	$6,292.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,871.00 / $2,871.00 / $5,124.72	Professional		$2,871.00	$2,871.00	$5,124.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,276.07 / $1,722.60 / $6,146.39	Professional		$1,276.07	$1,722.60	$6,146.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,871.00 / $2,871.00 / $2,871.00	Professional		$2,871.00	$2,871.00	$2,871.00