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 $2,511.89 / $3,090.30 / $6,309.57	Professional		$2,511.89	$3,090.30	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $6,309.57 / $7,943.28	Professional		$2,511.89	$6,309.57	$7,943.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,570.88 / $10,000.00	Professional		$2,511.89	$4,570.88	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,570.88 / $7,244.36	Facility		$2,511.89	$4,570.88	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,128.61 / $20,417.38	Professional		$2,818.38	$5,128.61	$20,417.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,309.57 / $7,413.10	Professional		$4,897.79	$6,309.57	$7,413.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,623.41 / $7,413.10	Professional		$3,467.37	$5,623.41	$7,413.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $5,754.40 / $7,079.46	Professional		$7.08	$5,754.40	$7,079.46
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 $2,754.23 / $3,890.45 / $7,585.78	Professional		$2,754.23	$3,890.45	$7,585.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,248.07 / $6,165.95	Professional		$4,168.69	$5,248.07	$6,165.95