Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,370.32 / $7,943.28	Facility		$3,090.30	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $4,570.88	Professional		$1,698.24	$2,041.74	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $4,168.69 / $5,248.07	Professional		$1,737.80	$4,168.69	$5,248.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,162.28 / $7,943.28	Professional		$1,698.24	$3,162.28	$7,943.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,162.28 / $5,248.07	Facility		$1,862.09	$3,162.28	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,548.13 / $13,803.84	Professional		$1,949.84	$3,548.13	$13,803.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,365.16 / $5,011.87	Professional		$3,388.44	$4,365.16	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,890.45 / $5,011.87	Professional		$3,019.95	$3,890.45	$5,011.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,073.80 / $4,677.35	Professional		$2,630.27	$4,073.80	$4,677.35
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 $1,905.46 / $2,691.53 / $5,248.07	Professional		$1,905.46	$2,691.53	$5,248.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,548.13 / $4,168.69	Professional		$2,818.38	$3,548.13	$4,168.69