Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,492.72 / $6,303.11 / $8,816.62	Facility		$3,492.72	$6,303.11	$8,816.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,138.40 / $2,818.80 / $3,142.80	Professional		$2,138.40	$2,818.80	$3,142.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,891.21 / $5,884.34 / $7,355.42	Professional		$3,891.21	$5,884.34	$7,355.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.00 / $4,050.00 / $5,670.00	Professional		$2,754.00	$4,050.00	$5,670.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $4,181.00 / $7,452.00	Facility		$3,240.00	$4,181.00	$7,452.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,704.45 / $3,240.00 / $10,888.37	Professional		$1,704.45	$3,240.00	$10,888.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,888.00 / $5,567.18 / $7,100.74	Facility		$3,888.00	$5,567.18	$7,100.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,888.00 / $5,613.35 / $7,100.74	Professional		$3,888.00	$5,613.35	$7,100.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $5,783.40	Professional		$3,240.00	$3,240.00	$5,783.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,704.45 / $1,944.00 / $5,994.00	Professional		$1,704.45	$1,944.00	$5,994.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $3,240.00	Professional		$3,240.00	$3,240.00	$3,240.00