Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $6,760.83	Facility		$1,819.70	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $3,019.95	Professional		$1,122.02	$1,479.11	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,884.03 / $3,467.37	Professional		$2,818.38	$2,884.03	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $4,570.88	Professional		$1,202.26	$2,137.96	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,370.32 / $17,782.79	Facility		$2,290.87	$5,370.32	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $9,120.11	Professional		$1,412.54	$2,398.83	$9,120.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,019.95 / $4,365.16	Professional		$2,691.53	$3,019.95	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,235.94 / $3,311.31	Professional		$2,398.83	$3,235.94	$3,311.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $2,398.83 / $3,090.30	Professional		$5.01	$2,398.83	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,332.54 / $18,620.87	Facility		$5,495.41	$9,332.54	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $3,715.35	Professional		$1,288.25	$1,949.84	$3,715.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,691.53	Professional		$2,290.87	$2,290.87	$2,691.53