Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,370.32 / $7,943.28	Facility		$3,548.13	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $10,964.78	Professional		$2,238.72	$2,951.21	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,495.41 / $6,918.31	Professional		$4,570.88	$5,495.41	$6,918.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,548.13 / $10,232.93	Professional		$2,344.23	$3,548.13	$10,232.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,248.07 / $7,244.36	Facility		$2,884.03	$5,248.07	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,897.79 / $18,620.87	Professional		$2,570.40	$4,897.79	$18,620.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,754.40 / $7,079.46	Professional		$5,128.61	$5,754.40	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $7,079.46	Professional		$5,011.87	$5,011.87	$7,079.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,570.88 / $6,606.93	Professional		$2,754.23	$4,570.88	$6,606.93
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 $2,454.71 / $3,548.13 / $6,918.31	Professional		$2,454.71	$3,548.13	$6,918.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,128.61 / $6,025.60	Professional		$4,073.80	$5,128.61	$6,025.60