Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,370.32 / $7,943.28	Facility		$2,691.53	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $4,786.30	Professional		$1,584.89	$2,290.87	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,365.16 / $4,897.79	Professional		$3,890.45	$4,365.16	$4,897.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,019.95 / $10,715.19	Professional		$1,698.24	$3,019.95	$10,715.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,365.16 / $7,244.36	Facility		$2,691.53	$4,365.16	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,715.35 / $6,606.93	Professional		$2,041.74	$3,715.35	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,466.84 / $6,760.83	Professional		$3,981.07	$4,466.84	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,786.30	Professional		$3,630.78	$3,630.78	$4,786.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,235.94 / $4,365.16	Professional		$1,862.09	$3,235.94	$4,365.16
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 $1,905.46 / $2,951.21 / $5,623.41	Professional		$1,905.46	$2,951.21	$5,623.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $4,265.80	Professional		$2,884.03	$3,630.78	$4,265.80