Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,370.32 / $7,943.28	Facility		$3,467.37	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $5,248.07	Professional		$1,905.46	$2,344.23	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $4,677.35 / $5,888.44	Professional		$1,862.09	$4,677.35	$5,888.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,630.78 / $7,762.47	Professional		$1,905.46	$3,630.78	$7,762.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,467.37 / $5,754.40	Facility		$2,041.74	$3,467.37	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,890.45 / $15,488.17	Professional		$2,137.96	$3,890.45	$15,488.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,786.30 / $5,754.40	Professional		$3,548.13	$4,786.30	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,168.69 / $5,888.44	Professional		$2,884.03	$4,168.69	$5,888.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,801.89 / $5,128.61	Professional		$1,905.46	$3,801.89	$5,128.61
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 $2,137.96 / $3,019.95 / $5,754.40	Professional		$2,137.96	$3,019.95	$5,754.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,168.69 / $4,897.79	Professional		$3,235.94	$4,168.69	$4,897.79