Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,370.32 / $7,943.28	Facility		$3,548.13	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $6,025.60	Professional		$2,238.72	$2,884.03	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,623.41 / $6,918.31	Professional		$5,248.07	$5,623.41	$6,918.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,981.07 / $8,709.64	Professional		$2,344.23	$3,981.07	$8,709.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,248.07 / $7,079.46	Facility		$2,344.23	$5,248.07	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,786.30 / $17,782.79	Professional		$2,691.53	$4,786.30	$17,782.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,623.41 / $7,244.36	Professional		$4,786.30	$5,623.41	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,456.54 / $6,456.54	Professional		$4,786.30	$6,456.54	$6,456.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $4,897.79 / $6,165.95	Professional		$10.00	$4,897.79	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,715.35 / $7,079.46	Professional		$2,511.89	$3,715.35	$7,079.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $5,248.07	Professional		$4,466.84	$4,466.84	$5,248.07