Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,370.32 / $7,943.28	Facility		$4,265.80	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,548.13 / $7,244.36	Professional		$2,691.53	$3,548.13	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,918.31 / $8,317.64	Professional		$6,456.54	$6,918.31	$8,317.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,897.79 / $13,489.63	Professional		$2,884.03	$4,897.79	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $6,456.54 / $7,943.28	Facility		$2,754.23	$6,456.54	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $5,888.44 / $21,877.62	Professional		$3,235.94	$5,888.44	$21,877.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,918.31 / $8,128.31	Professional		$5,370.32	$6,918.31	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $7,943.28 / $7,943.28	Professional		$5,888.44	$7,943.28	$7,943.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $5,888.44 / $7,585.78	Professional		$10.00	$5,888.44	$7,585.78
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 $3,019.95 / $4,570.88 / $8,709.64	Professional		$3,019.95	$4,570.88	$8,709.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $6,309.57	Professional		$5,370.32	$5,370.32	$6,309.57