Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,370.32 / $7,943.28	Facility		$3,162.28	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $6,456.54	Professional		$1,995.26	$2,398.83	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,248.07 / $6,309.57	Professional		$5,011.87	$5,248.07	$6,309.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,890.45 / $8,912.51	Professional		$2,238.72	$3,890.45	$8,912.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $7,079.46	Facility		$2,344.23	$5,128.61	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $16,595.87	Professional		$2,570.40	$4,570.88	$16,595.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,248.07 / $7,585.78	Professional		$5,011.87	$5,248.07	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,309.57 / $6,456.54	Professional		$4,570.88	$6,309.57	$6,456.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $4,570.88 / $5,888.44	Professional		$10.96	$4,570.88	$5,888.44
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 $2,344.23 / $3,548.13 / $6,918.31	Professional		$2,344.23	$3,548.13	$6,918.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $5,495.41	Professional		$4,677.35	$4,677.35	$5,495.41