Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,961.60 / $2,961.60 / $4,727.80	Facility		$2,961.60	$2,961.60	$4,727.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,488.32 / $2,839.79 / $4,232.80	Professional		$2,488.32	$2,839.79	$4,232.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,714.63 / $2,714.63 / $3,393.28	Professional		$2,714.63	$2,714.63	$3,393.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $5,690.00 / $5,810.00	Professional		$150.00	$5,690.00	$5,810.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,388.02 / $2,961.60 / $4,004.08	Facility		$1,388.02	$2,961.60	$4,004.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $3,551.04	Professional		$2,592.00	$2,592.00	$3,551.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,880.77 / $3,360.89 / $4,513.20	Facility		$2,880.77	$3,360.89	$4,513.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,964.04 / $2,964.04 / $2,964.04	Professional		$2,964.04	$2,964.04	$2,964.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,755.20 / $5,105.80 / $5,759.46	Professional		$2,755.20	$5,105.80	$5,759.46
United Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $2,851.20	Professional		$2,592.00	$2,592.00	$2,851.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.72 / $2,468.00 / $2,468.00	Professional		$1,949.72	$2,468.00	$2,468.00