Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,370.32 / $7,943.28	Facility		$2,818.38	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $6,918.31	Professional		$1,778.28	$2,398.83	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,677.35 / $5,495.41	Professional		$4,466.84	$4,677.35	$5,495.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,467.37 / $8,709.64	Professional		$1,949.84	$3,467.37	$8,709.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,677.35 / $7,079.46	Facility		$2,344.23	$4,677.35	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,981.07 / $14,791.08	Professional		$2,238.72	$3,981.07	$14,791.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,677.35 / $6,606.93	Professional		$4,365.16	$4,677.35	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,623.41 / $5,623.41	Professional		$4,073.80	$5,623.41	$5,623.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $4,073.80 / $5,248.07	Professional		$10.96	$4,073.80	$5,248.07
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 $2,041.74 / $3,162.28 / $6,165.95	Professional		$2,041.74	$3,162.28	$6,165.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,786.30	Professional		$4,073.80	$4,073.80	$4,786.30