Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,370.32 / $7,943.28	Facility		$2,344.23	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $3,890.45	Professional		$1,348.96	$1,949.84	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,715.35 / $4,168.69	Professional		$3,311.31	$3,715.35	$4,168.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $5,888.44	Professional		$1,445.44	$2,238.72	$5,888.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,890.45 / $7,244.36	Facility		$2,344.23	$3,890.45	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $6,309.57	Professional		$1,905.46	$3,548.13	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,715.35 / $7,079.46	Professional		$3,388.44	$3,715.35	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $3,548.13	Professional		$1,513.56	$2,630.27	$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 $1,698.24 / $2,951.21 / $5,248.07	Professional		$1,698.24	$2,951.21	$5,248.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $3,630.78	Professional		$2,454.71	$3,090.30	$3,630.78