Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,054.40 / $3,054.40 / $5,935.71	Facility		$3,054.40	$3,054.40	$5,935.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $6,134.73	Professional		$2,698.05	$2,698.05	$6,134.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,735.37 / $3,468.22	Professional		$2,698.05	$2,735.37	$3,468.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,945.16 / $3,447.10 / $7,346.27	Professional		$1,945.16	$3,447.10	$7,346.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $3,054.40 / $4,559.70	Facility		$2,698.05	$3,054.40	$4,559.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $3,003.50 / $11,735.90	Professional		$2,698.05	$3,003.50	$11,735.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,189.75 / $4,031.46 / $5,031.29	Facility		$3,189.75	$4,031.46	$5,031.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,189.75 / $3,468.22 / $4,093.52	Professional		$3,189.75	$3,468.22	$4,093.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,816.77 / $5,346.60 / $5,636.01	Professional		$2,816.77	$5,346.60	$5,636.01
United Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,778.99 / $3,237.66	Professional		$2,698.05	$2,778.99	$3,237.66
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,952.59 / $2,952.59 / $2,952.59	Facility		$2,952.59	$2,952.59	$2,952.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,332.55 / $2,952.59 / $2,952.59	Professional		$2,332.55	$2,952.59	$2,952.59