Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,760.83 / $7,943.28	Facility		$4,265.80	$6,760.83	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,570.88 / $10,232.93	Professional		$3,715.35	$4,570.88	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $9,120.11 / $11,481.54	Professional		$3,981.07	$9,120.11	$11,481.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $7,079.46 / $13,489.63	Professional		$3,801.89	$7,079.46	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,918.31 / $10,471.29	Facility		$3,715.35	$6,918.31	$10,471.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $7,413.10 / $31,622.78	Professional		$4,365.16	$7,413.10	$31,622.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $9,332.54 / $11,220.18	Professional		$6,760.83	$9,332.54	$11,220.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,943.28 / $11,481.54	Professional		$6,309.57	$7,943.28	$11,481.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7,413.10 / $10,471.29	Professional		$7.08	$7,413.10	$10,471.29
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 $4,168.69 / $5,888.44 / $11,220.18	Professional		$4,168.69	$5,888.44	$11,220.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $8,128.31 / $9,549.93	Professional		$6,456.54	$8,128.31	$9,549.93