Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,370.32 / $7,943.28	Facility		$2,884.03	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $4,365.16	Professional		$1,548.82	$2,137.96	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,073.80 / $5,011.87	Professional		$3,890.45	$4,073.80	$5,011.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,162.28 / $6,918.31	Professional		$1,737.80	$3,162.28	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,073.80 / $7,079.46	Facility		$2,344.23	$4,073.80	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,548.13 / $13,182.57	Professional		$2,041.74	$3,548.13	$13,182.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,168.69 / $5,888.44	Professional		$3,801.89	$4,168.69	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,677.35 / $4,677.35	Professional		$3,311.31	$4,677.35	$4,677.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $3,311.31 / $4,365.16	Professional		$7.08	$3,311.31	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,884.03 / $5,623.41	Professional		$1,862.09	$2,884.03	$5,623.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,890.45	Professional		$3,311.31	$3,311.31	$3,890.45