Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,456.54 / $7,943.28	Facility		$4,265.80	$6,456.54	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,466.84 / $7,413.10	Professional		$3,548.13	$4,466.84	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,606.93 / $8,128.31	Professional		$4,897.79	$6,606.93	$8,128.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $4,168.69 / $7,413.10	Professional		$151.36	$4,168.69	$7,413.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,413.10 / $14,791.08	Facility		$3,715.35	$7,413.10	$14,791.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $7,244.36 / $13,489.63	Professional		$4,265.80	$7,244.36	$13,489.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,549.93	Professional		$4,897.79	$7,413.10	$9,549.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,897.79 / $10,000.00	Professional		$4,365.16	$4,897.79	$10,000.00
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 $2,137.96 / $6,918.31 / $13,182.57	Facility		$2,137.96	$6,918.31	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $6,309.57 / $12,022.64	Professional		$4,168.69	$6,309.57	$12,022.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79