Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,370.32 / $7,943.28	Facility		$2,290.87	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $4,073.80	Professional		$1,348.96	$1,949.84	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,630.78 / $4,168.69	Professional		$3,311.31	$3,630.78	$4,168.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,511.89 / $4,897.79	Professional		$1,412.54	$2,511.89	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,715.35 / $7,244.36	Facility		$2,344.23	$3,715.35	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,090.30 / $5,248.07	Professional		$1,737.80	$3,090.30	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,715.35 / $5,370.32	Professional		$3,388.44	$3,715.35	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $4,073.80	Professional		$3,090.30	$3,090.30	$4,073.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,818.38 / $3,715.35	Professional		$1,584.89	$2,818.38	$3,715.35
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 $1,621.81 / $2,454.71 / $4,786.30	Professional		$1,621.81	$2,454.71	$4,786.30
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