Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,370.32 / $7,943.28	Facility		$1,995.26	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $6,456.54	Professional		$1,995.26	$1,995.26	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $4,265.80 / $5,248.07	Professional		$645.65	$4,265.80	$5,248.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,311.31 / $12,302.69	Professional		$1,698.24	$3,311.31	$12,302.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,951.21 / $6,456.54	Facility		$1,905.46	$2,951.21	$6,456.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,786.30 / $7,762.47	Professional		$3,388.44	$4,786.30	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,786.30	Professional		$3,467.37	$3,467.37	$4,786.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $6,918.31	Professional		$7.08	$7.08	$6,918.31
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 $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $3,981.07	Professional		$2,691.53	$3,388.44	$3,981.07