Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,370.32 / $7,943.28	Facility		$3,715.35	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $5,623.41	Professional		$2,041.74	$2,511.89	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $5,011.87 / $6,309.57	Professional		$2,137.96	$5,011.87	$6,309.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,890.45 / $9,772.37	Professional		$2,089.30	$3,890.45	$9,772.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,715.35 / $6,165.95	Facility		$2,187.76	$3,715.35	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $16,595.87	Professional		$2,344.23	$4,265.80	$16,595.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,165.95	Professional		$3,890.45	$5,128.61	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,466.84 / $6,165.95	Professional		$3,162.28	$4,466.84	$6,165.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $4,570.88 / $5,754.40	Professional		$7.08	$4,570.88	$5,754.40
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 $2,290.87 / $3,235.94 / $6,165.95	Professional		$2,290.87	$3,235.94	$6,165.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,466.84 / $5,248.07	Professional		$3,548.13	$4,466.84	$5,248.07