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 $4,365.16 / $5,370.32 / $11,748.98	Professional		$4,365.16	$5,370.32	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $10,471.29 / $13,182.57	Professional		$2,818.38	$10,471.29	$13,182.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $18,620.87	Professional		$4,265.80	$7,762.47	$18,620.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $7,244.36 / $13,182.57	Facility		$3,467.37	$7,244.36	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $8,912.51 / $35,481.34	Professional		$4,365.16	$8,912.51	$35,481.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $10,715.19 / $13,182.57	Professional		$7,244.36	$10,715.19	$13,182.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $10,471.29 / $13,182.57	Professional		$3,388.44	$10,471.29	$13,182.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $8,709.64 / $12,022.64	Professional		$4,073.80	$8,709.64	$12,022.64
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 $4,570.88 / $7,079.46 / $13,182.57	Professional		$4,570.88	$7,079.46	$13,182.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $9,332.54 / $10,964.78	Professional		$7,413.10	$9,332.54	$10,964.78