Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,370.32 / $7,943.28	Facility		$3,235.94	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $5,370.32	Professional		$1,862.09	$2,187.76	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,011.87 / $6,165.95	Professional		$4,897.79	$5,011.87	$6,165.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,630.78 / $11,748.98	Professional		$2,137.96	$3,630.78	$11,748.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,897.79 / $10,000.00	Facility		$2,570.40	$4,897.79	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,265.80 / $24,547.09	Professional		$2,511.89	$4,265.80	$24,547.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,011.87 / $7,413.10	Professional		$4,786.30	$5,011.87	$7,413.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,754.40 / $5,888.44	Professional		$4,265.80	$5,754.40	$5,888.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $4,365.16 / $5,495.41	Professional		$5.01	$4,365.16	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,413.10 / $12,302.69	Facility		$2,570.40	$7,413.10	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,388.44 / $6,309.57	Professional		$2,290.87	$3,388.44	$6,309.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $4,570.88	Professional		$3,890.45	$3,890.45	$4,570.88