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 $2,818.38 / $3,981.07 / $12,302.69	Professional		$2,818.38	$3,981.07	$12,302.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,413.10 / $8,511.38	Professional		$6,760.83	$7,413.10	$8,511.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,570.88 / $14,125.38	Professional		$2,951.21	$4,570.88	$14,125.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,918.31 / $8,511.38	Facility		$2,951.21	$6,918.31	$8,511.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $6,309.57 / $10,964.78	Professional		$3,630.78	$6,309.57	$10,964.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $7,585.78 / $9,332.54	Professional		$6,918.31	$7,585.78	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $8,511.38	Professional		$6,309.57	$6,309.57	$8,511.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $5,754.40 / $7,585.78	Professional		$3,235.94	$5,754.40	$7,585.78
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 $3,311.31 / $4,897.79 / $9,772.37	Professional		$3,311.31	$4,897.79	$9,772.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,309.57 / $7,413.10	Professional		$5,011.87	$6,309.57	$7,413.10