Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,370.32 / $7,943.28	Facility		$3,388.44	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $6,918.31	Professional		$2,187.76	$2,630.27	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,495.41 / $6,760.83	Professional		$4,897.79	$5,495.41	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,981.07 / $6,025.60	Professional		$2,398.83	$3,981.07	$6,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $7,244.36	Facility		$2,344.23	$5,128.61	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $17,782.79	Professional		$2,511.89	$4,466.84	$17,782.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,495.41 / $6,918.31	Professional		$4,570.88	$5,495.41	$6,918.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $6,760.83 / $6,918.31	Professional		$3,981.07	$6,760.83	$6,918.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $4,168.69 / $6,309.57	Professional		$15.14	$4,168.69	$6,309.57
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 $2,511.89 / $3,630.78 / $7,413.10	Professional		$2,511.89	$3,630.78	$7,413.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,888.44	Professional		$5,011.87	$5,011.87	$5,888.44