Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,370.32 / $7,943.28	Facility		$3,548.13	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $6,760.83	Professional		$2,630.27	$3,388.44	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,606.93 / $8,317.64	Professional		$6,456.54	$6,606.93	$8,317.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,786.30 / $11,481.54	Professional		$2,884.03	$4,786.30	$11,481.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,025.60 / $7,943.28	Facility		$2,630.27	$6,025.60	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $21,379.62	Professional		$3,162.28	$5,495.41	$21,379.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,606.93 / $7,943.28	Professional		$5,248.07	$6,606.93	$7,943.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $7,762.47 / $7,943.28	Professional		$5,495.41	$7,762.47	$7,943.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $5,495.41 / $7,413.10	Professional		$7.94	$5,495.41	$7,413.10
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 $2,951.21 / $4,466.84 / $8,317.64	Professional		$2,951.21	$4,466.84	$8,317.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $6,606.93	Professional		$5,623.41	$5,623.41	$6,606.93