Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,370.32 / $7,943.28	Facility		$1,862.09	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $3,467.37	Professional		$1,148.15	$1,513.56	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,951.21 / $3,548.13	Professional		$2,884.03	$2,951.21	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,344.23 / $4,897.79	Professional		$1,258.93	$2,344.23	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,019.95 / $7,079.46	Facility		$1,819.70	$3,019.95	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $9,549.93	Professional		$1,513.56	$2,630.27	$9,549.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,951.21 / $4,466.84	Professional		$2,884.03	$2,951.21	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,548.13 / $3,548.13	Professional		$2,630.27	$3,548.13	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $2,570.40 / $3,311.31	Professional		$10.00	$2,570.40	$3,311.31
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 $1,380.38 / $2,089.30 / $4,073.80	Professional		$1,380.38	$2,089.30	$4,073.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,884.03	Professional		$2,454.71	$2,454.71	$2,884.03