Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,370.32 / $7,943.28	Facility		$3,019.95	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $10,964.78	Professional		$1,905.46	$2,454.71	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,786.30 / $5,888.44	Professional		$4,466.84	$4,786.30	$5,888.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,388.44 / $9,332.54	Professional		$1,995.26	$3,388.44	$9,332.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,570.88 / $7,079.46	Facility		$2,238.72	$4,570.88	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,981.07 / $15,135.61	Professional		$2,238.72	$3,981.07	$15,135.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,786.30 / $6,025.60	Professional		$3,981.07	$4,786.30	$6,025.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,495.41 / $5,495.41	Professional		$4,073.80	$5,495.41	$5,495.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $4,168.69 / $5,248.07	Professional		$6.03	$4,168.69	$5,248.07
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 $2,137.96 / $3,090.30 / $6,025.60	Professional		$2,137.96	$3,090.30	$6,025.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,466.84	Professional		$3,801.89	$3,801.89	$4,466.84