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 $2,818.38 / $3,388.44 / $7,585.78	Professional		$2,818.38	$3,388.44	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $6,918.31 / $8,511.38	Professional		$3,019.95	$6,918.31	$8,511.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,754.40 / $10,964.78	Professional		$2,884.03	$5,754.40	$10,964.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,128.61 / $8,317.64	Facility		$2,818.38	$5,128.61	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $5,888.44 / $22,387.21	Professional		$3,311.31	$5,888.44	$22,387.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $7,079.46 / $8,511.38	Professional		$5,623.41	$7,079.46	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,585.78 / $8,511.38	Professional		$6,309.57	$7,585.78	$8,511.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $5,623.41 / $7,585.78	Professional		$2,630.27	$5,623.41	$7,585.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $7,413.10	Facility		$1,318.26	$4,897.79	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,786.30 / $8,912.51	Professional		$3,162.28	$4,786.30	$8,912.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,025.60 / $7,079.46	Professional		$4,786.30	$6,025.60	$7,079.46