Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,370.32 / $7,943.28	Facility		$2,951.21	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $6,025.60	Professional		$1,862.09	$2,238.72	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,786.30 / $5,754.40	Professional		$4,677.35	$4,786.30	$5,754.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,801.89 / $6,606.93	Professional		$2,041.74	$3,801.89	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,786.30 / $7,079.46	Facility		$2,344.23	$4,786.30	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $16,595.87	Professional		$2,344.23	$4,365.16	$16,595.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,786.30 / $7,244.36	Professional		$4,677.35	$4,786.30	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,888.44 / $5,888.44	Professional		$4,265.80	$5,888.44	$5,888.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $4,677.35 / $5,495.41	Professional		$10.96	$4,677.35	$5,495.41
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 $2,137.96 / $3,235.94 / $6,456.54	Professional		$2,137.96	$3,235.94	$6,456.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,011.87	Professional		$4,265.80	$4,265.80	$5,011.87