Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,235.94 / $6,760.83	Facility		$1,659.59	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $2,951.21	Professional		$1,071.52	$1,318.26	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,311.31	Professional		$2,137.96	$2,691.53	$3,311.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $3,981.07	Professional		$1,096.48	$1,621.81	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $6,918.31	Facility		$1,513.56	$2,884.03	$6,918.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,238.72 / $8,709.64	Professional		$1,174.90	$2,238.72	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,691.53 / $3,162.28	Professional		$2,398.83	$2,691.53	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $3,162.28	Professional		$2,089.30	$2,290.87	$3,162.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $2,570.40	Professional		$1,096.48	$1,949.84	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,309.57 / $9,772.37	Facility		$3,715.35	$6,309.57	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $3,311.31	Professional		$1,122.02	$1,659.59	$3,311.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $2,691.53	Professional		$1,819.70	$2,290.87	$2,691.53