Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,370.32 / $7,943.28	Facility		$2,630.27	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $3,981.07	Professional		$1,412.54	$1,949.84	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,715.35 / $4,570.88	Professional		$3,548.13	$3,715.35	$4,570.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,818.38 / $6,309.57	Professional		$1,584.89	$2,818.38	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,715.35 / $7,079.46	Facility		$2,187.76	$3,715.35	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,235.94 / $12,022.64	Professional		$1,862.09	$3,235.94	$12,022.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,801.89 / $5,370.32	Professional		$3,467.37	$3,801.89	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,265.80 / $4,265.80	Professional		$3,019.95	$4,265.80	$4,265.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $3,019.95 / $3,981.07	Professional		$7.08	$3,019.95	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $5,128.61	Professional		$1,737.80	$2,630.27	$5,128.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,548.13	Professional		$3,019.95	$3,019.95	$3,548.13