Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,370.32 / $7,943.28	Facility		$3,981.07	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $10,232.93	Professional		$2,570.40	$3,311.31	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,309.57 / $7,762.47	Professional		$5,128.61	$6,309.57	$7,762.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,981.07 / $11,220.18	Professional		$2,630.27	$3,981.07	$11,220.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,754.40 / $7,943.28	Facility		$3,090.30	$5,754.40	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,495.41 / $20,892.96	Professional		$2,884.03	$5,495.41	$20,892.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,606.93 / $7,943.28	Professional		$5,623.41	$6,606.93	$7,943.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $7,943.28	Professional		$5,623.41	$5,623.41	$7,943.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $7,413.10	Professional		$3,090.30	$5,128.61	$7,413.10
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 $2,691.53 / $3,981.07 / $7,943.28	Professional		$2,691.53	$3,981.07	$7,943.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,754.40 / $6,760.83	Professional		$4,570.88	$5,754.40	$6,760.83