Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,370.32 / $7,943.28	Facility		$2,818.38	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $4,786.30	Professional		$1,778.28	$2,290.87	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,466.84 / $5,495.41	Professional		$4,168.69	$4,466.84	$5,495.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $8,709.64	Professional		$1,862.09	$3,090.30	$8,709.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,265.80 / $7,079.46	Facility		$2,041.74	$4,265.80	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,801.89 / $14,125.38	Professional		$2,089.30	$3,801.89	$14,125.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,466.84 / $5,623.41	Professional		$3,715.35	$4,466.84	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,128.61 / $5,128.61	Professional		$3,801.89	$5,128.61	$5,128.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $3,890.45 / $5,011.87	Professional		$6.03	$3,890.45	$5,011.87
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 $1,995.26 / $2,951.21 / $5,623.41	Professional		$1,995.26	$2,951.21	$5,623.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $4,168.69	Professional		$3,548.13	$3,548.13	$4,168.69