Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,370.32 / $7,943.28	Facility		$3,467.37	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $5,248.07	Professional		$1,905.46	$2,344.23	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $4,677.35 / $5,888.44	Professional		$2,041.74	$4,677.35	$5,888.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,630.78 / $7,762.47	Professional		$1,905.46	$3,630.78	$7,762.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $5,888.44	Facility		$2,089.30	$3,467.37	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,981.07 / $15,488.17	Professional		$2,238.72	$3,981.07	$15,488.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,786.30 / $5,754.40	Professional		$3,630.78	$4,786.30	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,168.69 / $5,754.40	Professional		$3,235.94	$4,168.69	$5,754.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $4,168.69 / $5,370.32	Professional		$7.08	$4,168.69	$5,370.32
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 $2,137.96 / $3,019.95 / $5,754.40	Professional		$2,137.96	$3,019.95	$5,754.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,168.69 / $4,897.79	Professional		$3,235.94	$4,168.69	$4,897.79