Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,370.32 / $7,943.28	Facility		$2,398.83	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $4,265.80	Professional		$1,412.54	$1,995.26	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,715.35 / $4,265.80	Professional		$3,467.37	$3,715.35	$4,265.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $5,128.61	Professional		$1,479.11	$2,398.83	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,801.89 / $7,244.36	Facility		$2,238.72	$3,801.89	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,162.28 / $5,370.32	Professional		$1,819.70	$3,162.28	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,801.89 / $5,248.07	Professional		$3,467.37	$3,801.89	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $4,265.80	Professional		$3,235.94	$3,235.94	$4,265.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $3,890.45	Professional		$1,621.81	$2,884.03	$3,890.45
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 $1,659.59 / $2,511.89 / $4,897.79	Professional		$1,659.59	$2,511.89	$4,897.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $3,715.35	Professional		$2,511.89	$3,162.28	$3,715.35