Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,370.32 / $7,943.28	Facility		$2,187.76	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $4,466.84	Professional		$1,380.38	$1,659.59	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,630.78 / $4,365.16	Professional		$3,467.37	$3,630.78	$4,365.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,691.53 / $6,760.83	Professional		$1,513.56	$2,691.53	$6,760.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,011.87 / $16,982.44	Facility		$2,187.76	$5,011.87	$16,982.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,090.30 / $12,589.25	Professional		$1,698.24	$3,090.30	$12,589.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,630.78 / $4,897.79	Professional		$3,235.94	$3,630.78	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,365.16 / $4,365.16	Professional		$3,090.30	$4,365.16	$4,365.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $3,162.28 / $4,073.80	Professional		$10.96	$3,162.28	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $8,511.38 / $11,748.98	Facility		$4,897.79	$8,511.38	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $4,786.30	Professional		$1,621.81	$2,398.83	$4,786.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,715.35	Professional		$3,162.28	$3,162.28	$3,715.35