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 / $2,398.83 / $5,011.87	Professional		$1,698.24	$2,398.83	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,570.88 / $5,128.61	Professional		$4,073.80	$4,570.88	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,754.23 / $6,025.60	Professional		$1,778.28	$2,754.23	$6,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,897.79 / $7,244.36	Facility		$2,398.83	$4,897.79	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $7,762.47	Professional		$2,187.76	$4,265.80	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $7,413.10	Professional		$4,168.69	$5,128.61	$7,413.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $5,128.61	Professional		$3,890.45	$3,890.45	$5,128.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,388.44 / $4,570.88	Professional		$1,905.46	$3,388.44	$4,570.88
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 / $3,715.35 / $6,606.93	Professional		$2,089.30	$3,715.35	$6,606.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,801.89 / $4,466.84	Professional		$3,019.95	$3,801.89	$4,466.84