Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,370.32 / $7,943.28	Facility		$3,715.35	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $9,332.54	Professional		$2,454.71	$3,235.94	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,888.44 / $7,413.10	Professional		$4,897.79	$5,888.44	$7,413.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,715.35 / $9,772.37	Professional		$2,454.71	$3,715.35	$9,772.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,456.54 / $14,125.38	Facility		$3,715.35	$6,456.54	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,248.07 / $19,498.45	Professional		$2,754.23	$5,248.07	$19,498.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,165.95 / $7,585.78	Professional		$5,370.32	$6,165.95	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $7,585.78	Professional		$5,370.32	$5,370.32	$7,585.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,897.79 / $7,079.46	Professional		$2,951.21	$4,897.79	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $10,471.29 / $16,218.10	Facility		$7,244.36	$10,471.29	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,801.89 / $7,413.10	Professional		$2,570.40	$3,801.89	$7,413.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,495.41 / $6,456.54	Professional		$4,265.80	$5,495.41	$6,456.54