Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,786.30 / $7,079.46	Facility		$1,778.28	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $3,019.95	Professional		$1,122.02	$1,445.44	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,818.38 / $3,548.13	Professional		$2,630.27	$2,818.38	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $4,265.80	Professional		$1,174.90	$1,949.84	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,370.32 / $16,218.10	Facility		$1,819.70	$5,370.32	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $8,912.51	Professional		$1,348.96	$2,290.87	$8,912.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,630.27 / $3,715.35	Professional		$2,454.71	$2,630.27	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $3,311.31	Professional		$2,238.72	$3,235.94	$3,311.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $2,290.87 / $3,162.28	Professional		$5.01	$2,290.87	$3,162.28
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 $1,230.27 / $1,778.28 / $3,467.37	Professional		$1,230.27	$1,778.28	$3,467.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,630.27	Professional		$2,238.72	$2,238.72	$2,630.27