Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,370.32 / $7,943.28	Facility		$3,548.13	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $6,309.57	Professional		$2,089.30	$2,951.21	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,309.57	Professional		$5,128.61	$5,128.61	$6,309.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,388.44 / $7,413.10	Professional		$2,187.76	$3,388.44	$7,413.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,370.32 / $7,244.36	Facility		$2,818.38	$5,370.32	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,677.35 / $8,128.31	Professional		$2,454.71	$4,677.35	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,623.41 / $6,309.57	Professional		$3,801.89	$5,623.41	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $6,309.57	Professional		$4,786.30	$4,786.30	$6,309.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,265.80 / $5,623.41	Professional		$2,398.83	$4,265.80	$5,623.41
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 $2,344.23 / $3,630.78 / $7,413.10	Professional		$2,344.23	$3,630.78	$7,413.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,677.35 / $5,495.41	Professional		$3,715.35	$4,677.35	$5,495.41