Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,370.32 / $7,943.28	Facility		$4,168.69	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $6,309.57	Professional		$2,290.87	$2,691.53	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,888.44 / $7,244.36	Professional		$5,754.40	$5,888.44	$7,244.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,265.80 / $9,120.11	Professional		$2,511.89	$4,265.80	$9,120.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,623.41 / $7,244.36	Facility		$2,344.23	$5,623.41	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,897.79 / $18,620.87	Professional		$2,884.03	$4,897.79	$18,620.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,754.40 / $8,709.64	Professional		$5,495.41	$5,754.40	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,760.83 / $6,918.31	Professional		$4,897.79	$6,760.83	$6,918.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5,011.87 / $6,606.93	Professional		$5.01	$5,011.87	$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 $2,630.27 / $3,981.07 / $7,244.36	Professional		$2,630.27	$3,981.07	$7,244.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $5,623.41	Professional		$4,786.30	$4,786.30	$5,623.41