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 $3,090.30 / $3,801.89 / $8,709.64	Professional		$3,090.30	$3,801.89	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $7,762.47 / $9,549.93	Professional		$3,311.31	$7,762.47	$9,549.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $6,025.60 / $12,022.64	Professional		$3,162.28	$6,025.60	$12,022.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,754.40 / $9,120.11	Facility		$3,162.28	$5,754.40	$9,120.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $6,309.57 / $25,703.96	Professional		$3,630.78	$6,309.57	$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 $5,011.87 / $6,918.31 / $9,549.93	Professional		$5,011.87	$6,918.31	$9,549.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $6,456.54 / $8,912.51	Professional		$7.08	$6,456.54	$8,912.51
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 $3,467.37 / $5,011.87 / $9,332.54	Professional		$3,467.37	$5,011.87	$9,332.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,760.83 / $8,128.31	Professional		$5,370.32	$6,760.83	$8,128.31