Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,817.42 / $3,817.42 / $70,106.89	Professional		$3,817.42	$3,817.42	$70,106.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,423.42 / $1,779.27 / $24,678.97	Professional		$1,423.42	$1,779.27	$24,678.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $632.41 / $5,815.35 / $13,334.94	Professional		$632.41	$5,815.35	$13,334.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,580.26 / $15,294.88 / $33,239.54	Facility		$1,580.26	$15,294.88	$33,239.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,808.69 / $18,959.14 / $32,442.66	Professional		$1,808.69	$18,959.14	$32,442.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,580.26 / $18,416.66 / $25,269.35	Facility		$1,580.26	$18,416.66	$25,269.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,475.24 / $15,359.34 / $27,366.84	Professional		$1,475.24	$15,359.34	$27,366.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $721.60 / $7,449.20 / $22,706.13	Professional		$721.60	$7,449.20	$22,706.13
United Facility/Professional Professional Modifier Low / Median / High Price $10,901.51 / $20,725.80 / $30,858.84	Professional		$10,901.51	$20,725.80	$30,858.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,352.50 / $1,591.20 / $19,599.09	Professional		$1,352.50	$1,591.20	$19,599.09