Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,370.32 / $7,943.28	Facility		$3,715.35	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,951.21 / $7,413.10	Professional		$2,398.83	$2,951.21	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,456.54 / $8,128.31	Professional		$6,025.60	$6,456.54	$8,128.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $9,549.93	Professional		$2,818.38	$5,011.87	$9,549.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,754.40 / $7,413.10	Facility		$2,754.23	$5,754.40	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $5,370.32 / $21,379.62	Professional		$3,019.95	$5,370.32	$21,379.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,025.60 / $8,709.64	Professional		$5,754.40	$6,025.60	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $7,244.36 / $8,317.64	Professional		$5,623.41	$7,244.36	$8,317.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $5,623.41 / $6,760.83	Professional		$10.96	$5,623.41	$6,760.83
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 $2,754.23 / $4,073.80 / $8,128.31	Professional		$2,754.23	$4,073.80	$8,128.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $6,918.31	Professional		$5,888.44	$5,888.44	$6,918.31