Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,370.32 / $7,943.28	Facility		$2,884.03	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $5,128.61	Professional		$1,698.24	$2,454.71	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,570.88 / $5,248.07	Professional		$4,168.69	$4,570.88	$5,248.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $7,585.78	Professional		$1,819.70	$2,818.38	$7,585.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,570.88 / $7,244.36	Facility		$2,818.38	$4,570.88	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,073.80 / $6,606.93	Professional		$2,238.72	$4,073.80	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,677.35 / $6,606.93	Professional		$4,073.80	$4,677.35	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $5,248.07	Professional		$3,890.45	$3,890.45	$5,248.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,467.37 / $4,677.35	Professional		$1,949.84	$3,467.37	$4,677.35
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 $2,089.30 / $3,162.28 / $6,025.60	Professional		$2,089.30	$3,162.28	$6,025.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,890.45 / $4,570.88	Professional		$3,090.30	$3,890.45	$4,570.88