Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,370.32 / $7,943.28	Facility		$4,168.69	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,454.71 / $4,168.69	Professional		$1,318.26	$2,454.71	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $5,011.87 / $6,165.95	Professional		$1,905.46	$5,011.87	$6,165.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,548.13 / $11,748.98	Professional		$1,513.56	$3,548.13	$11,748.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $6,606.93	Facility		$1,819.70	$4,168.69	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,715.35 / $16,982.44	Professional		$2,089.30	$3,715.35	$16,982.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,365.16 / $6,165.95	Professional		$2,951.21	$4,365.16	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,801.89 / $6,309.57	Professional		$3,090.30	$3,801.89	$6,309.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
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 $1,905.46 / $2,884.03 / $5,248.07	Professional		$1,905.46	$2,884.03	$5,248.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $3,548.13	Professional		$2,398.83	$3,019.95	$3,548.13