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 $2,511.89 / $3,090.30 / $6,918.31	Professional		$2,511.89	$3,090.30	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $6,165.95 / $7,762.47	Professional		$2,630.27	$6,165.95	$7,762.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,677.35 / $10,000.00	Professional		$2,630.27	$4,677.35	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,677.35 / $7,585.78	Facility		$2,691.53	$4,677.35	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,128.61 / $20,417.38	Professional		$2,951.21	$5,128.61	$20,417.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,309.57 / $7,585.78	Professional		$4,897.79	$6,309.57	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,495.41 / $7,762.47	Professional		$3,981.07	$5,495.41	$7,762.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $5,128.61 / $6,760.83	Professional		$2,511.89	$5,128.61	$6,760.83
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 $2,818.38 / $3,981.07 / $7,585.78	Professional		$2,818.38	$3,981.07	$7,585.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,495.41 / $6,456.54	Professional		$4,365.16	$5,495.41	$6,456.54