Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,159.42 / $6,146.34 / $8,597.34	Facility		$3,159.42	$6,146.34	$8,597.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,085.21 / $2,748.70 / $3,064.64	Professional		$2,085.21	$2,748.70	$3,064.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,791.30 / $3,791.30 / $3,791.30	Facility		$3,791.30	$3,791.30	$3,791.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,794.43 / $5,738.11 / $7,172.64	Professional		$3,794.43	$5,738.11	$7,172.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,685.51 / $4,265.22 / $5,718.55	Professional		$2,685.51	$4,265.22	$5,718.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,159.42 / $4,083.56 / $8,088.12	Facility		$3,159.42	$4,083.56	$8,088.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,895.65 / $1,958.84 / $10,195.76	Professional		$1,895.65	$1,958.84	$10,195.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,791.30 / $4,423.18 / $6,508.41	Facility		$3,791.30	$4,423.18	$6,508.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,791.30 / $4,328.41 / $6,508.41	Professional		$3,791.30	$4,328.41	$6,508.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,159.42 / $3,159.42 / $5,639.56	Professional		$3,159.42	$3,159.42	$5,639.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,739.13 / $4,739.13 / $4,739.13	Facility		$4,739.13	$4,739.13	$4,739.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,895.65 / $1,895.65 / $6,887.54	Professional		$1,895.65	$1,895.65	$6,887.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,159.42 / $3,159.42 / $3,159.42	Professional		$3,159.42	$3,159.42	$3,159.42