Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,011.87 / $7,943.28	Facility		$3,630.78	$5,011.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $5,011.87	Professional		$1,995.26	$2,454.71	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $5,011.87 / $6,309.57	Professional		$1,995.26	$5,011.87	$6,309.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,630.78 / $9,772.37	Professional		$1,995.26	$3,630.78	$9,772.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,630.78 / $6,025.60	Facility		$2,041.74	$3,630.78	$6,025.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,073.80 / $16,218.10	Professional		$2,238.72	$4,073.80	$16,218.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,011.87 / $5,888.44	Professional		$3,981.07	$5,011.87	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,466.84 / $5,888.44	Professional		$2,884.03	$4,466.84	$5,888.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $4,570.88 / $5,623.41	Professional		$7.08	$4,570.88	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $7,413.10	Facility		$1,318.26	$4,897.79	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $6,025.60	Professional		$2,187.76	$3,090.30	$6,025.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $4,897.79	Professional		$3,311.31	$4,168.69	$4,897.79