Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,248.07 / $7,943.28	Facility		$2,454.71	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $4,168.69	Professional		$1,548.82	$2,041.74	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,890.45 / $4,897.79	Professional		$3,630.78	$3,890.45	$4,897.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,884.03 / $7,244.36	Professional		$1,659.59	$2,884.03	$7,244.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $7,413.10 / $16,218.10	Facility		$2,344.23	$7,413.10	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $5,623.41	Professional		$1,905.46	$3,090.30	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,630.78 / $5,888.44	Professional		$2,951.21	$3,630.78	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,570.88	Professional		$4,466.84	$4,466.84	$4,570.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $4,365.16	Professional		$6.03	$6.03	$4,365.16
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 $3,090.30 / $3,090.30 / $3,630.78	Professional		$3,090.30	$3,090.30	$3,630.78