Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,370.32 / $7,943.28	Facility		$3,890.45	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,884.03 / $6,760.83	Professional		$2,511.89	$2,884.03	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,309.57 / $7,762.47	Professional		$5,888.44	$6,309.57	$7,762.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $12,302.69	Professional		$2,630.27	$4,570.88	$12,302.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,888.44 / $7,413.10	Facility		$2,630.27	$5,888.44	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $5,248.07 / $19,952.62	Professional		$3,019.95	$5,248.07	$19,952.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,025.60 / $8,128.31	Professional		$5,370.32	$6,025.60	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $7,413.10 / $7,762.47	Professional		$5,248.07	$7,413.10	$7,762.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $5,370.32 / $7,413.10	Professional		$10.96	$5,370.32	$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 $2,818.38 / $4,073.80 / $8,317.64	Professional		$2,818.38	$4,073.80	$8,317.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $6,165.95	Professional		$5,248.07	$5,248.07	$6,165.95