Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $7,943.28	Facility		$2,137.96	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $3,715.35	Professional		$1,230.27	$1,778.28	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,090.30 / $3,801.89	Professional		$3,019.95	$3,090.30	$3,801.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $4,466.84	Professional		$1,288.25	$2,089.30	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,388.44 / $7,244.36	Facility		$1,995.26	$3,388.44	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,818.38 / $4,786.30	Professional		$1,584.89	$2,818.38	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,388.44 / $4,570.88	Professional		$3,019.95	$3,388.44	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,467.37	Professional		$2,818.38	$2,818.38	$3,467.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,570.40 / $3,388.44	Professional		$1,445.44	$2,570.40	$3,388.44
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 $1,479.11 / $2,187.76 / $4,365.16	Professional		$1,479.11	$2,187.76	$4,365.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $2,884.03	Professional		$1,862.09	$2,344.23	$2,884.03