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 $5,011.87 / $5,623.41 / $15,135.61	Professional		$5,011.87	$5,623.41	$15,135.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $13,182.57 / $15,135.61	Professional		$12,302.69	$13,182.57	$15,135.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $10,964.78 / $20,417.38	Professional		$5,370.32	$10,964.78	$20,417.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $9,772.37 / $15,488.17	Facility		$3,388.44	$9,772.37	$15,488.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $11,481.54 / $40,738.03	Professional		$6,606.93	$11,481.54	$40,738.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $13,182.57 / $18,197.01	Professional		$12,022.64	$13,182.57	$18,197.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $15,488.17 / $15,488.17	Professional		$11,748.98	$15,488.17	$15,488.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11,748.98 / $14,125.38	Professional		$7.08	$11,748.98	$14,125.38
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 $6,025.60 / $9,120.11 / $16,982.44	Professional		$6,025.60	$9,120.11	$16,982.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $12,882.50	Professional		$10,964.78	$10,964.78	$12,882.50