Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,370.32 / $7,943.28	Facility		$4,265.80	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,365.16 / $12,589.25	Professional		$3,019.95	$4,365.16	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,128.31 / $9,120.11	Professional		$7,413.10	$8,128.31	$9,120.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,011.87 / $11,220.18	Professional		$3,162.28	$5,011.87	$11,220.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,079.46 / $9,120.11	Facility		$2,951.21	$7,079.46	$9,120.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $6,760.83 / $11,481.54	Professional		$3,890.45	$6,760.83	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $8,128.31 / $11,748.98	Professional		$7,079.46	$8,128.31	$11,748.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $9,120.11	Professional		$6,760.83	$6,760.83	$9,120.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $6,025.60 / $8,128.31	Professional		$3,467.37	$6,025.60	$8,128.31
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 $3,801.89 / $5,623.41 / $10,715.19	Professional		$3,801.89	$5,623.41	$10,715.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,918.31 / $8,128.31	Professional		$5,370.32	$6,918.31	$8,128.31