Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,175.09 / $7,534.55 / $10,539.10	Facility		$4,175.09	$7,534.55	$10,539.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,556.17 / $3,369.51 / $3,756.81	Professional		$2,556.17	$3,369.51	$3,756.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,651.43 / $7,034.57 / $8,793.21	Professional		$4,651.43	$7,034.57	$8,793.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,292.05 / $4,534.50 / $6,777.75	Professional		$3,292.05	$4,534.50	$6,777.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,863.93 / $4,997.84 / $8,907.90	Facility		$3,863.93	$4,997.84	$8,907.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,323.80 / $3,873.00 / $15,202.90	Professional		$2,323.80	$3,873.00	$15,202.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,647.60 / $7,101.53 / $8,606.86	Facility		$4,647.60	$7,101.53	$8,606.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,647.60 / $6,332.36 / $9,876.15	Professional		$4,647.60	$6,332.36	$9,876.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $6,913.31	Professional		$3,873.00	$3,873.00	$6,913.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,323.80 / $2,323.80 / $8,443.14	Professional		$2,323.80	$2,323.80	$8,443.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $3,873.00	Professional		$3,873.00	$3,873.00	$3,873.00