Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $6,025.60 / $7,943.28	Facility		$3,019.95	$6,025.60	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $5,011.87	Professional		$1,737.80	$2,089.30	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,365.16 / $5,495.41	Professional		$3,388.44	$4,365.16	$5,495.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $6,165.95	Professional		$1,862.09	$2,691.53	$6,165.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,073.80 / $14,125.38	Facility		$1,778.28	$4,073.80	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,715.35 / $6,760.83	Professional		$1,778.28	$3,715.35	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $5,495.41	Professional		$3,548.13	$4,365.16	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,715.35 / $5,495.41	Professional		$2,951.21	$3,715.35	$5,495.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,630.78 / $5,248.07	Professional		$2,187.76	$3,630.78	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $16,218.10 / $46,773.51	Facility		$10,471.29	$16,218.10	$46,773.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,754.23 / $5,128.61	Professional		$1,778.28	$2,754.23	$5,128.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,981.07 / $4,677.35	Professional		$3,162.28	$3,981.07	$4,677.35