Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,370.32 / $7,943.28	Facility		$3,019.95	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $4,466.84	Professional		$1,659.59	$1,995.26	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $4,073.80 / $5,128.61	Professional		$1,659.59	$4,073.80	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $7,762.47	Professional		$1,659.59	$3,090.30	$7,762.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,090.30 / $5,248.07	Facility		$1,819.70	$3,090.30	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,467.37 / $13,489.63	Professional		$1,949.84	$3,467.37	$13,489.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,265.80 / $4,897.79	Professional		$3,311.31	$4,265.80	$4,897.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,715.35 / $5,011.87	Professional		$3,019.95	$3,715.35	$5,011.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $3,801.89 / $4,570.88	Professional		$7.08	$3,801.89	$4,570.88
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 $1,862.09 / $2,691.53 / $5,128.61	Professional		$1,862.09	$2,691.53	$5,128.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,467.37 / $4,073.80	Professional		$2,754.23	$3,467.37	$4,073.80