Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,370.32 / $7,943.28	Facility		$4,073.80	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $6,918.31	Professional		$2,570.40	$3,388.44	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,606.93 / $7,943.28	Professional		$6,025.60	$6,606.93	$7,943.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,570.88 / $10,232.93	Professional		$2,754.23	$4,570.88	$10,232.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,025.60 / $7,585.78	Facility		$2,630.27	$6,025.60	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $5,495.41 / $20,892.96	Professional		$3,019.95	$5,495.41	$20,892.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,606.93 / $7,585.78	Professional		$4,677.35	$6,606.93	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $7,585.78 / $7,585.78	Professional		$5,623.41	$7,585.78	$7,585.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $5,623.41 / $7,079.46	Professional		$10.00	$5,623.41	$7,079.46
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 $2,818.38 / $4,265.80 / $8,317.64	Professional		$2,818.38	$4,265.80	$8,317.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,025.60	Professional		$5,128.61	$5,128.61	$6,025.60