Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,370.32 / $7,943.28	Facility		$2,511.89	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $3,715.35	Professional		$1,412.54	$1,698.24	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,311.31 / $4,073.80	Professional		$1,445.44	$3,311.31	$4,073.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,570.40 / $6,025.60	Professional		$1,380.38	$2,570.40	$6,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,951.21 / $5,248.07	Facility		$1,548.82	$2,951.21	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $10,964.78	Professional		$1,621.81	$2,884.03	$10,964.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,467.37 / $4,073.80	Professional		$3,090.30	$3,467.37	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,162.28 / $4,168.69	Professional		$2,754.23	$3,162.28	$4,168.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $3,467.37 / $3,801.89	Professional		$12.02	$3,467.37	$3,801.89
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 $1,584.89 / $2,454.71 / $4,365.16	Professional		$1,584.89	$2,454.71	$4,365.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $3,467.37	Professional		$2,344.23	$2,951.21	$3,467.37