Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,370.32 / $7,943.28	Facility		$2,884.03	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $4,365.16	Professional		$1,584.89	$1,949.84	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $4,897.79	Professional		$1,698.24	$3,890.45	$4,897.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,019.95 / $6,456.54	Professional		$1,659.59	$3,019.95	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,951.21 / $5,011.87	Facility		$1,737.80	$2,951.21	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,311.31 / $12,882.50	Professional		$1,862.09	$3,311.31	$12,882.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,981.07 / $4,786.30	Professional		$3,019.95	$3,981.07	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,548.13 / $4,786.30	Professional		$2,570.40	$3,548.13	$4,786.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $3,467.37 / $4,466.84	Professional		$7.08	$3,467.37	$4,466.84
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 $1,778.28 / $2,511.89 / $4,786.30	Professional		$1,778.28	$2,511.89	$4,786.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,467.37 / $4,073.80	Professional		$2,754.23	$3,467.37	$4,073.80