Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,370.32 / $7,943.28	Facility		$2,570.40	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $6,456.54	Professional		$1,479.11	$2,187.76	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,981.07 / $4,570.88	Professional		$3,630.78	$3,981.07	$4,570.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,691.53 / $7,244.36	Professional		$1,584.89	$2,691.53	$7,244.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,981.07 / $7,244.36	Facility		$2,511.89	$3,981.07	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,388.44 / $6,165.95	Professional		$1,949.84	$3,388.44	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $6,309.57	Professional		$3,467.37	$4,073.80	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $4,570.88	Professional		$3,388.44	$3,388.44	$4,570.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,019.95 / $4,073.80	Professional		$1,737.80	$3,019.95	$4,073.80
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 $1,778.28 / $2,754.23 / $5,248.07	Professional		$1,778.28	$2,754.23	$5,248.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $3,981.07	Professional		$2,691.53	$3,388.44	$3,981.07