Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,370.32 / $7,943.28	Facility		$2,511.89	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $4,677.35	Professional		$1,548.82	$2,041.74	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,981.07 / $4,786.30	Professional		$3,801.89	$3,981.07	$4,786.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,162.28 / $6,606.93	Professional		$1,698.24	$3,162.28	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,981.07 / $7,079.46	Facility		$2,344.23	$3,981.07	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $15,135.61	Professional		$1,995.26	$3,548.13	$15,135.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,981.07 / $6,456.54	Professional		$3,548.13	$3,981.07	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,786.30 / $4,786.30	Professional		$3,548.13	$4,786.30	$4,786.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $3,467.37 / $4,365.16	Professional		$15.14	$3,467.37	$4,365.16
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 $1,862.09 / $2,884.03 / $5,495.41	Professional		$1,862.09	$2,884.03	$5,495.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,890.45	Professional		$3,311.31	$3,311.31	$3,890.45