Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,370.32 / $7,943.28	Facility		$3,090.30	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $5,248.07	Professional		$1,949.84	$2,511.89	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,897.79 / $6,025.60	Professional		$4,570.88	$4,897.79	$6,025.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,388.44 / $9,549.93	Professional		$1,949.84	$3,388.44	$9,549.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,677.35 / $7,079.46	Facility		$2,238.72	$4,677.35	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,168.69 / $15,488.17	Professional		$2,290.87	$4,168.69	$15,488.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,897.79 / $5,754.40	Professional		$3,801.89	$4,897.79	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,623.41 / $5,623.41	Professional		$4,168.69	$5,623.41	$5,623.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $4,265.80 / $5,370.32	Professional		$6.03	$4,265.80	$5,370.32
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 / $3,235.94 / $6,165.95	Professional		$2,137.96	$3,235.94	$6,165.95
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