Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,370.32 / $7,943.28	Facility		$2,754.23	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $4,897.79	Professional		$1,621.81	$2,344.23	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,365.16 / $5,011.87	Professional		$3,981.07	$4,365.16	$5,011.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,818.38 / $7,244.36	Professional		$1,737.80	$2,818.38	$7,244.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,365.16 / $7,244.36	Facility		$2,511.89	$4,365.16	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,890.45 / $6,309.57	Professional		$2,137.96	$3,890.45	$6,309.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,365.16 / $6,025.60	Professional		$3,981.07	$4,365.16	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,897.79	Professional		$3,715.35	$3,715.35	$4,897.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,311.31 / $4,466.84	Professional		$1,862.09	$3,311.31	$4,466.84
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 $1,949.84 / $2,884.03 / $5,754.40	Professional		$1,949.84	$2,884.03	$5,754.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,715.35 / $4,365.16	Professional		$2,951.21	$3,715.35	$4,365.16