Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,553.41 / $5,051.95 / $7,678.96	Facility		$2,553.41	$5,051.95	$7,678.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,041.56 / $4,041.56 / $5,051.95	Professional		$4,041.56	$4,041.56	$5,051.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,933.75 / $4,917.18 / $4,917.18	Professional		$3,933.75	$4,917.18	$4,917.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $5,642.11 / $5,761.10	Professional		$150.00	$5,642.11	$5,761.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,031.39 / $5,051.95 / $6,841.54	Facility		$1,031.39	$5,051.95	$6,841.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $7,602.35	Professional		$4,209.96	$4,209.96	$7,602.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,660.54 / $4,879.91 / $9,321.06	Facility		$1,660.54	$4,879.91	$9,321.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,879.91 / $6,337.76 / $10,142.42	Professional		$4,879.91	$6,337.76	$10,142.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,047.30 / $9,422.04 / $10,627.23	Professional		$2,047.30	$9,422.04	$10,627.23
United Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $5,195.09	Professional		$4,209.96	$4,209.96	$5,195.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,325.87 / $4,209.96 / $4,209.96	Professional		$3,325.87	$4,209.96	$4,209.96