Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,370.32 / $7,943.28	Facility		$4,265.80	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,548.13 / $7,413.10	Professional		$2,511.89	$3,548.13	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,606.93 / $7,585.78	Professional		$6,165.95	$6,606.93	$7,585.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,168.69 / $10,000.00	Professional		$2,630.27	$4,168.69	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,456.54 / $7,943.28	Facility		$2,951.21	$6,456.54	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $5,495.41 / $9,772.37	Professional		$3,235.94	$5,495.41	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,760.83 / $8,128.31	Professional		$6,165.95	$6,760.83	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $7,585.78	Professional		$5,623.41	$5,623.41	$7,585.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,011.87 / $6,760.83	Professional		$2,884.03	$5,011.87	$6,760.83
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 $2,951.21 / $4,365.16 / $8,709.64	Professional		$2,951.21	$4,365.16	$8,709.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,623.41 / $6,606.93	Professional		$4,466.84	$5,623.41	$6,606.93