Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,370.32 / $7,943.28	Facility		$2,089.30	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $3,890.45	Professional		$1,288.25	$1,698.24	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,311.31 / $3,981.07	Professional		$3,162.28	$3,311.31	$3,981.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,570.40 / $5,370.32	Professional		$1,412.54	$2,570.40	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,311.31 / $7,079.46	Facility		$2,089.30	$3,311.31	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,884.03 / $10,715.19	Professional		$1,659.59	$2,884.03	$10,715.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,311.31 / $4,897.79	Professional		$3,162.28	$3,311.31	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,890.45 / $3,890.45	Professional		$2,884.03	$3,890.45	$3,890.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,691.53 / $3,548.13	Professional		$1,479.11	$2,691.53	$3,548.13
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 $1,513.56 / $2,290.87 / $4,466.84	Professional		$1,513.56	$2,290.87	$4,466.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,162.28	Professional		$2,691.53	$2,691.53	$3,162.28