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 / $7,079.46	Professional		$2,511.89	$3,090.30	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $6,309.57 / $7,762.47	Professional		$2,754.23	$6,309.57	$7,762.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,897.79 / $10,232.93	Professional		$2,630.27	$4,897.79	$10,232.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,677.35 / $7,762.47	Facility		$2,754.23	$4,677.35	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $5,370.32 / $20,892.96	Professional		$3,019.95	$5,370.32	$20,892.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $7,762.47	Professional		$5,011.87	$6,456.54	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,623.41 / $7,762.47	Professional		$4,466.84	$5,623.41	$7,762.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,248.07 / $6,760.83	Professional		$2,884.03	$5,248.07	$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 $2,884.03 / $4,073.80 / $7,762.47	Professional		$2,884.03	$4,073.80	$7,762.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,495.41 / $6,606.93	Professional		$4,365.16	$5,495.41	$6,606.93