Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,370.32 / $7,943.28	Facility		$2,570.40	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $5,011.87	Professional		$1,621.81	$2,137.96	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,073.80 / $5,128.61	Professional		$3,311.31	$4,073.80	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,570.40 / $5,754.40	Professional		$1,659.59	$2,570.40	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,981.07 / $6,606.93	Facility		$2,187.76	$3,981.07	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,548.13 / $13,489.63	Professional		$1,819.70	$3,548.13	$13,489.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,265.80 / $5,128.61	Professional		$3,630.78	$4,265.80	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $5,128.61	Professional		$3,630.78	$3,630.78	$5,128.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,388.44 / $4,897.79	Professional		$2,041.74	$3,388.44	$4,897.79
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 $1,778.28 / $2,570.40 / $5,011.87	Professional		$1,778.28	$2,570.40	$5,011.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,715.35 / $4,365.16	Professional		$2,951.21	$3,715.35	$4,365.16