Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,754.40 / $7,943.28	Facility		$4,265.80	$5,754.40	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,890.45 / $8,709.64	Professional		$3,162.28	$3,890.45	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $7,585.78 / $9,549.93	Professional		$2,818.38	$7,585.78	$9,549.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,623.41 / $12,882.50	Professional		$3,162.28	$5,623.41	$12,882.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,754.40 / $9,549.93	Facility		$3,090.30	$5,754.40	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $6,456.54 / $25,703.96	Professional		$3,235.94	$6,456.54	$25,703.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $7,762.47 / $9,549.93	Professional		$5,888.44	$7,762.47	$9,549.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $7,413.10 / $9,772.37	Professional		$3,388.44	$7,413.10	$9,772.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $6,606.93 / $8,709.64	Professional		$3,235.94	$6,606.93	$8,709.64
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 $3,311.31 / $5,128.61 / $9,772.37	Professional		$3,311.31	$5,128.61	$9,772.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,918.31 / $8,128.31	Professional		$5,370.32	$6,918.31	$8,128.31