Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,188.34 / $3,949.17 / $5,524.00	Facility		$2,188.34	$3,949.17	$5,524.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,339.80 / $1,766.10 / $1,969.10	Professional		$1,339.80	$1,766.10	$1,969.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,438.02 / $3,687.01 / $4,608.77	Professional		$2,438.02	$3,687.01	$4,608.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,228.58 / $3,230.88 / $3,674.30	Professional		$2,228.58	$3,230.88	$3,674.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,030.00 / $2,619.58 / $5,196.80	Facility		$2,030.00	$2,619.58	$5,196.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,218.00 / $2,030.00 / $7,986.17	Professional		$1,218.00	$2,030.00	$7,986.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,436.00 / $3,722.21 / $5,897.01	Facility		$2,436.00	$3,722.21	$5,897.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,436.00 / $3,654.00 / $5,176.50	Professional		$2,436.00	$3,654.00	$5,176.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,030.00 / $3,623.55	Professional		$2,030.00	$2,030.00	$3,623.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,218.00 / $1,218.00 / $4,425.39	Professional		$1,218.00	$1,218.00	$4,425.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,030.00 / $2,030.00	Professional		$2,030.00	$2,030.00	$2,030.00