Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,370.32 / $7,943.28	Facility		$2,238.72	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $4,570.88	Professional		$1,412.54	$1,698.24	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,715.35 / $4,466.84	Professional		$3,548.13	$3,715.35	$4,466.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,754.23 / $7,244.36	Professional		$1,548.82	$2,754.23	$7,244.36
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 $1,778.28 / $3,162.28 / $13,803.84	Professional		$1,778.28	$3,162.28	$13,803.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,715.35 / $5,011.87	Professional		$3,311.31	$3,715.35	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,466.84 / $4,466.84	Professional		$3,162.28	$4,466.84	$4,466.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $3,235.94 / $4,168.69	Professional		$10.96	$3,235.94	$4,168.69
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 $1,621.81 / $2,454.71 / $4,786.30	Professional		$1,621.81	$2,454.71	$4,786.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,801.89	Professional		$3,235.94	$3,235.94	$3,801.89