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 $4,168.69 / $5,011.87 / $11,481.54	Professional		$4,168.69	$5,011.87	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $10,232.93 / $12,882.50	Professional		$4,466.84	$10,232.93	$12,882.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $7,943.28 / $19,054.61	Professional		$4,265.80	$7,943.28	$19,054.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,413.10 / $12,302.69	Facility		$4,168.69	$7,413.10	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $8,709.64 / $33,884.42	Professional		$4,897.79	$8,709.64	$33,884.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $10,471.29 / $12,589.25	Professional		$7,762.47	$10,471.29	$12,589.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $9,120.11 / $12,589.25	Professional		$7,762.47	$9,120.11	$12,589.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $9,120.11 / $11,748.98	Professional		$12.88	$9,120.11	$11,748.98
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 $4,677.35 / $6,606.93 / $12,589.25	Professional		$4,677.35	$6,606.93	$12,589.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $9,120.11 / $10,715.19	Professional		$7,244.36	$9,120.11	$10,715.19