Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,165.95 / $7,943.28	Facility		$4,265.80	$6,165.95	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,073.80 / $9,120.11	Professional		$3,311.31	$4,073.80	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $8,128.31 / $10,000.00	Professional		$2,454.71	$8,128.31	$10,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $5,888.44 / $13,803.84	Professional		$3,235.94	$5,888.44	$13,803.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,888.44 / $10,000.00	Facility		$2,951.21	$5,888.44	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $6,606.93 / $26,915.35	Professional		$3,311.31	$6,606.93	$26,915.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $8,317.64 / $10,000.00	Professional		$5,754.40	$8,317.64	$10,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $7,585.78 / $10,232.93	Professional		$2,951.21	$7,585.78	$10,232.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $6,760.83 / $9,120.11	Professional		$3,162.28	$6,760.83	$9,120.11
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 $3,388.44 / $5,370.32 / $10,232.93	Professional		$3,388.44	$5,370.32	$10,232.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $7,244.36 / $8,511.38	Professional		$5,754.40	$7,244.36	$8,511.38