Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,248.07 / $7,943.28	Facility		$2,754.23	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $5,754.40	Professional		$1,584.89	$1,995.26	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,981.07 / $5,011.87	Professional		$2,398.83	$3,981.07	$5,011.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $5,011.87	Professional		$1,288.25	$2,238.72	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,890.45 / $10,232.93	Facility		$1,621.81	$3,890.45	$10,232.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,019.95 / $12,882.50	Professional		$1,513.56	$3,019.95	$12,882.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,981.07 / $4,786.30	Professional		$2,187.76	$3,981.07	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,467.37 / $3,801.89	Professional		$3,311.31	$3,467.37	$3,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $3,890.45	Professional		$1,659.59	$2,951.21	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $9,120.11 / $14,125.38	Facility		$5,128.61	$9,120.11	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $4,786.30	Professional		$1,412.54	$2,344.23	$4,786.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $4,073.80	Professional		$2,691.53	$3,467.37	$4,073.80