Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,370.32 / $7,943.28	Facility		$2,344.23	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $4,168.69	Professional		$1,479.11	$1,819.70	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,715.35 / $4,677.35	Professional		$3,019.95	$3,715.35	$4,677.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $5,248.07	Professional		$1,513.56	$2,344.23	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,548.13 / $6,606.93	Facility		$2,137.96	$3,548.13	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,235.94 / $12,302.69	Professional		$1,698.24	$3,235.94	$12,302.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $4,677.35	Professional		$3,311.31	$3,890.45	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $4,677.35	Professional		$3,235.94	$3,235.94	$4,677.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,090.30 / $4,365.16	Professional		$1,819.70	$3,090.30	$4,365.16
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 $1,584.89 / $2,344.23 / $4,570.88	Professional		$1,584.89	$2,344.23	$4,570.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $3,981.07	Professional		$2,691.53	$3,388.44	$3,981.07