Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,360.02 / $3,428.88 / $5,211.88	Facility		$1,360.02	$3,428.88	$5,211.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,743.10 / $3,166.40 / $4,800.00	Professional		$2,743.10	$3,166.40	$4,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $3,431.71 / $7,643.09	Professional		$2,914.55	$3,431.71	$7,643.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $2,943.12 / $4,552.00	Professional		$150.00	$2,943.12	$4,552.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,194.62 / $3,431.71 / $5,636.21	Facility		$2,194.62	$3,431.71	$5,636.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,857.40 / $2,857.40 / $5,636.21	Professional		$2,857.40	$2,857.40	$5,636.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,821.26 / $4,876.43 / $7,299.50	Facility		$3,821.26	$4,876.43	$7,299.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,431.71 / $4,814.66 / $7,643.09	Professional		$3,431.71	$4,814.66	$7,643.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,356.30 / $4,664.28 / $5,260.63	Professional		$4,356.30	$4,664.28	$5,260.63
United Facility/Professional Professional Modifier Low / Median / High Price $2,857.40 / $2,857.40 / $3,717.48	Professional		$2,857.40	$2,857.40	$3,717.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,257.35 / $2,857.40 / $2,857.40	Professional		$2,257.35	$2,857.40	$2,857.40