Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,370.32 / $7,943.28	Facility		$4,073.80	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $7,244.36	Professional		$2,570.40	$3,235.94	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,456.54 / $7,943.28	Professional		$5,248.07	$6,456.54	$7,943.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,073.80 / $9,120.11	Professional		$2,691.53	$4,073.80	$9,120.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,888.44 / $8,128.31	Facility		$3,090.30	$5,888.44	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,623.41 / $21,379.62	Professional		$2,951.21	$5,623.41	$21,379.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $8,128.31	Professional		$5,888.44	$6,760.83	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $8,128.31	Professional		$5,754.40	$5,754.40	$8,128.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,248.07 / $7,585.78	Professional		$3,162.28	$5,248.07	$7,585.78
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 $2,884.03 / $4,073.80 / $8,128.31	Professional		$2,884.03	$4,073.80	$8,128.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,888.44 / $6,918.31	Professional		$4,677.35	$5,888.44	$6,918.31