Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,541.54 / $3,541.54 / $5,596.56	Facility		$3,541.54	$3,541.54	$5,596.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $5,397.93	Professional		$2,608.16	$2,608.16	$5,397.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,723.89 / $3,805.60	Professional		$2,608.16	$2,723.89	$3,805.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,160.34 / $2,676.96 / $5,666.46	Professional		$2,160.34	$2,676.96	$5,666.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,432.91 / $2,901.12 / $4,299.17	Facility		$2,432.91	$2,901.12	$4,299.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,543.89 / $2,831.88 / $12,064.38	Professional		$2,543.89	$2,831.88	$12,064.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,352.08 / $3,750.70 / $4,781.93	Facility		$2,352.08	$3,750.70	$4,781.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,745.00 / $3,208.12 / $4,202.64	Professional		$1,745.00	$3,208.12	$4,202.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,537.10 / $5,164.41 / $5,448.23	Professional		$2,537.10	$5,164.41	$5,448.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,411.16 / $4,411.16 / $4,411.16	Facility		$4,411.16	$4,411.16	$4,411.16
United Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,686.40 / $3,338.44	Professional		$2,608.16	$2,686.40	$3,338.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,783.88 / $2,783.88 / $2,783.88	Facility		$2,783.88	$2,783.88	$2,783.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,199.27 / $2,783.88 / $2,783.88	Professional		$2,199.27	$2,783.88	$2,783.88