Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,248.07 / $7,943.28	Facility		$1,949.84	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $3,311.31	Professional		$1,230.27	$1,621.81	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $3,890.45	Professional		$2,691.53	$3,090.30	$3,890.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $4,073.80	Professional		$1,202.26	$2,041.74	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,570.88 / $16,218.10	Facility		$1,949.84	$4,570.88	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $10,000.00	Professional		$1,412.54	$2,454.71	$10,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,818.38 / $4,265.80	Professional		$2,630.27	$2,818.38	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,630.78 / $3,630.78	Professional		$2,187.76	$3,630.78	$3,630.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $2,290.87 / $3,630.78	Professional		$5.01	$2,290.87	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,715.19 / $15,488.17	Facility		$7,413.10	$10,715.19	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $3,801.89	Professional		$1,318.26	$1,995.26	$3,801.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,884.03	Professional		$2,454.71	$2,454.71	$2,884.03