Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,370.32 / $7,943.28	Facility		$3,235.94	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $4,786.30	Professional		$1,737.80	$2,137.96	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $4,265.80 / $5,370.32	Professional		$1,862.09	$4,265.80	$5,370.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,388.44 / $7,079.46	Professional		$1,819.70	$3,388.44	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,311.31 / $5,495.41	Facility		$1,949.84	$3,311.31	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,630.78 / $14,125.38	Professional		$2,041.74	$3,630.78	$14,125.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,365.16 / $5,248.07	Professional		$3,388.44	$4,365.16	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,890.45 / $5,370.32	Professional		$2,951.21	$3,890.45	$5,370.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,890.45 / $5,011.87	Professional		$2,398.83	$3,890.45	$5,011.87
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 $1,995.26 / $2,818.38 / $5,370.32	Professional		$1,995.26	$2,818.38	$5,370.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,801.89 / $4,466.84	Professional		$3,019.95	$3,801.89	$4,466.84