Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,370.32 / $7,943.28	Facility		$3,890.45	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,235.94 / $6,760.83	Professional		$2,290.87	$3,235.94	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,025.60 / $6,918.31	Professional		$5,495.41	$6,025.60	$6,918.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,890.45 / $7,943.28	Professional		$2,398.83	$3,890.45	$7,943.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,888.44 / $7,413.10	Facility		$2,951.21	$5,888.44	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,011.87 / $8,709.64	Professional		$2,951.21	$5,011.87	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,165.95 / $7,244.36	Professional		$5,623.41	$6,165.95	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,918.31	Professional		$5,128.61	$5,128.61	$6,918.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,677.35 / $6,165.95	Professional		$2,630.27	$4,677.35	$6,165.95
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 $2,691.53 / $3,981.07 / $7,943.28	Professional		$2,691.53	$3,981.07	$7,943.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,128.61 / $6,025.60	Professional		$4,073.80	$5,128.61	$6,025.60