Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,370.32 / $7,943.28	Facility		$3,388.44	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $6,025.60	Professional		$1,995.26	$2,818.38	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,370.32 / $6,025.60	Professional		$4,786.30	$5,370.32	$6,025.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,388.44 / $7,244.36	Professional		$2,137.96	$3,388.44	$7,244.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,248.07 / $7,244.36	Facility		$2,951.21	$5,248.07	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,677.35 / $8,709.64	Professional		$2,630.27	$4,677.35	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,495.41 / $8,912.51	Professional		$4,897.79	$5,495.41	$8,912.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $6,165.95	Professional		$4,677.35	$4,677.35	$6,165.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,981.07 / $5,495.41	Professional		$2,344.23	$3,981.07	$5,495.41
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 $2,454.71 / $3,801.89 / $7,244.36	Professional		$2,454.71	$3,801.89	$7,244.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,570.88 / $5,370.32	Professional		$3,630.78	$4,570.88	$5,370.32