Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,370.32 / $7,943.28	Facility		$3,235.94	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $4,897.79	Professional		$1,698.24	$2,137.96	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $4,365.16 / $5,495.41	Professional		$1,819.70	$4,365.16	$5,495.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,311.31 / $6,456.54	Professional		$1,778.28	$3,311.31	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,235.94 / $5,370.32	Facility		$1,862.09	$3,235.94	$5,370.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $14,454.40	Professional		$1,995.26	$3,548.13	$14,454.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,365.16 / $5,370.32	Professional		$3,090.30	$4,365.16	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $5,370.32	Professional		$2,691.53	$3,630.78	$5,370.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $3,548.13 / $5,011.87	Professional		$7.08	$3,548.13	$5,011.87
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 $1,949.84 / $2,754.23 / $5,248.07	Professional		$1,949.84	$2,754.23	$5,248.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,890.45 / $4,570.88	Professional		$3,019.95	$3,890.45	$4,570.88