Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,370.32 / $7,943.28	Facility		$3,630.78	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $5,370.32	Professional		$1,995.26	$2,511.89	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,786.30 / $6,025.60	Professional		$2,137.96	$4,786.30	$6,025.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,801.89 / $8,709.64	Professional		$2,041.74	$3,801.89	$8,709.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,801.89 / $6,165.95	Facility		$2,187.76	$3,801.89	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,168.69 / $15,848.93	Professional		$2,344.23	$4,168.69	$15,848.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,011.87 / $5,888.44	Professional		$4,168.69	$5,011.87	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,677.35 / $6,025.60	Professional		$3,630.78	$4,677.35	$6,025.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $4,365.16 / $5,495.41	Professional		$15.14	$4,365.16	$5,495.41
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 $2,238.72 / $3,235.94 / $6,025.60	Professional		$2,238.72	$3,235.94	$6,025.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,265.80 / $5,011.87	Professional		$3,388.44	$4,265.80	$5,011.87