Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,370.32 / $7,943.28	Facility		$3,019.95	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $5,370.32	Professional		$1,778.28	$2,570.40	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,786.30 / $5,370.32	Professional		$4,365.16	$4,786.30	$5,370.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $7,244.36	Professional		$1,862.09	$3,090.30	$7,244.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,677.35 / $7,244.36	Facility		$2,511.89	$4,677.35	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,981.07 / $6,918.31	Professional		$2,290.87	$3,981.07	$6,918.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,786.30 / $5,495.41	Professional		$3,715.35	$4,786.30	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $5,370.32	Professional		$4,073.80	$4,073.80	$5,370.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,548.13 / $4,786.30	Professional		$2,041.74	$3,548.13	$4,786.30
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 $2,137.96 / $3,090.30 / $6,309.57	Professional		$2,137.96	$3,090.30	$6,309.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $4,786.30	Professional		$3,162.28	$4,073.80	$4,786.30