Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,370.32 / $7,943.28	Facility		$2,290.87	$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 $2,884.03 / $3,630.78 / $4,570.88	Professional		$2,884.03	$3,630.78	$4,570.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $6,165.95	Professional		$1,513.56	$2,290.87	$6,165.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,467.37 / $6,606.93	Facility		$2,137.96	$3,467.37	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $12,302.69	Professional		$1,659.59	$2,951.21	$12,302.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,677.35	Professional		$3,162.28	$3,548.13	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $4,677.35	Professional		$2,818.38	$2,818.38	$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 $1,548.82 / $2,290.87 / $4,570.88	Professional		$1,548.82	$2,290.87	$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