Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $6,760.83	Facility		$2,089.30	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $4,265.80	Professional		$1,548.82	$1,778.28	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,981.07 / $4,897.79	Professional		$3,801.89	$3,981.07	$4,897.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,818.38 / $5,495.41	Professional		$1,698.24	$2,818.38	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,630.78 / $8,511.38	Facility		$2,041.74	$3,630.78	$8,511.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $12,882.50	Professional		$1,949.84	$3,235.94	$12,882.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,981.07 / $5,623.41	Professional		$3,715.35	$3,981.07	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,570.88 / $4,677.35	Professional		$3,162.28	$4,570.88	$4,677.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $3,162.28 / $4,365.16	Professional		$7.08	$3,162.28	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,025.60 / $10,232.93	Facility		$2,041.74	$6,025.60	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $4,897.79	Professional		$1,778.28	$2,691.53	$4,897.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,890.45	Professional		$3,311.31	$3,311.31	$3,890.45