Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,025.60 / $7,943.28	Facility		$3,467.37	$6,025.60	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $5,495.41	Professional		$1,995.26	$2,290.87	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,011.87 / $6,165.95	Professional		$3,981.07	$5,011.87	$6,165.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,162.28 / $7,413.10	Professional		$2,041.74	$3,162.28	$7,413.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,897.79 / $14,125.38	Facility		$2,818.38	$4,897.79	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,265.80 / $21,379.62	Professional		$2,238.72	$4,265.80	$21,379.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,011.87 / $5,888.44	Professional		$4,466.84	$5,011.87	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,365.16 / $5,888.44	Professional		$4,265.80	$4,365.16	$5,888.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,630.78 / $4,786.30	Professional		$2,041.74	$3,630.78	$4,786.30
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 $2,137.96 / $3,162.28 / $6,165.95	Professional		$2,137.96	$3,162.28	$6,165.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,265.80 / $5,011.87	Professional		$3,388.44	$4,265.80	$5,011.87