Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,760.83 / $7,943.28	Facility		$4,265.80	$6,760.83	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,786.30 / $10,471.29	Professional		$3,890.45	$4,786.30	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $9,332.54 / $11,748.98	Professional		$2,884.03	$9,332.54	$11,748.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $6,918.31 / $16,595.87	Professional		$3,801.89	$6,918.31	$16,595.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,606.93 / $11,748.98	Facility		$3,388.44	$6,606.93	$11,748.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $7,943.28 / $31,622.78	Professional		$3,890.45	$7,943.28	$31,622.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $9,549.93 / $11,748.98	Professional		$6,918.31	$9,549.93	$11,748.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $9,120.11 / $11,748.98	Professional		$3,548.13	$9,120.11	$11,748.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $8,128.31 / $10,715.19	Professional		$3,801.89	$8,128.31	$10,715.19
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 $3,981.07 / $6,309.57 / $12,022.64	Professional		$3,981.07	$6,309.57	$12,022.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $8,317.64 / $10,000.00	Professional		$6,606.93	$8,317.64	$10,000.00