Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,606.93 / $8,128.31	Facility		$2,570.40	$6,606.93	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $4,365.16	Professional		$1,548.82	$2,089.30	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,073.80 / $5,011.87	Professional		$3,548.13	$4,073.80	$5,011.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,691.53 / $6,918.31	Professional		$1,621.81	$2,691.53	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,786.30 / $16,218.10	Facility		$2,570.40	$4,786.30	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $12,882.50	Professional		$1,862.09	$3,090.30	$12,882.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,715.35 / $5,623.41	Professional		$3,548.13	$3,715.35	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,786.30 / $4,786.30	Professional		$2,951.21	$4,786.30	$4,786.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $3,019.95 / $4,677.35	Professional		$5.01	$3,019.95	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,715.19 / $15,488.17	Facility		$7,413.10	$10,715.19	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,630.27 / $5,011.87	Professional		$1,778.28	$2,630.27	$5,011.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,801.89	Professional		$3,235.94	$3,235.94	$3,801.89