Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,370.32 / $7,943.28	Facility		$2,041.74	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $3,311.31	Professional		$1,174.90	$1,288.25	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,951.21 / $3,630.78	Professional		$2,884.03	$2,951.21	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $4,677.35	Professional		$1,288.25	$2,187.76	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $7,079.46	Facility		$1,659.59	$2,951.21	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,511.89 / $11,481.54	Professional		$1,479.11	$2,511.89	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,951.21 / $4,073.80	Professional		$2,691.53	$2,951.21	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $3,548.13	Professional		$2,454.71	$3,467.37	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $3,019.95	Professional		$1,288.25	$2,344.23	$3,019.95
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 $1,348.96 / $1,949.84 / $3,715.35	Professional		$1,348.96	$1,949.84	$3,715.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,951.21	Professional		$2,511.89	$2,511.89	$2,951.21