Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $5,679.80 / $7,944.75	Facility		$2,919.60	$5,679.80	$7,944.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,926.94 / $2,248.09 / $2,832.01	Professional		$1,926.94	$2,248.09	$2,832.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,503.52 / $5,302.69 / $6,628.37	Professional		$3,503.52	$5,302.69	$6,628.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,481.66 / $3,941.46 / $14,922.41	Professional		$2,481.66	$3,941.46	$14,922.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $3,767.54 / $7,474.18	Facility		$2,919.60	$3,767.54	$7,474.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,751.76 / $1,959.05 / $10,969.72	Professional		$1,751.76	$1,959.05	$10,969.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,503.52 / $4,087.44 / $6,398.56	Facility		$3,503.52	$4,087.44	$6,398.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,503.52 / $5,339.22 / $7,620.16	Professional		$3,503.52	$5,339.22	$7,620.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $5,211.49	Professional		$2,919.60	$2,919.60	$5,211.49
United Facility/Professional Facility Modifier Low / Median / High Price $4,379.39 / $4,379.39 / $4,379.39	Facility		$4,379.39	$4,379.39	$4,379.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,751.76 / $1,751.76 / $6,364.73	Professional		$1,751.76	$1,751.76	$6,364.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $2,919.60	Professional		$2,919.60	$2,919.60	$2,919.60