Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,248.07 / $7,943.28	Facility		$1,584.89	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $3,235.94	Professional		$1,174.90	$1,348.96	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,019.95 / $3,715.35	Professional		$2,951.21	$3,019.95	$3,715.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $4,570.88	Professional		$1,288.25	$2,290.87	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,168.69 / $19,054.61	Facility		$1,995.26	$4,168.69	$19,054.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $9,772.37	Professional		$1,513.56	$2,630.27	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,019.95 / $4,570.88	Professional		$2,884.03	$3,019.95	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,548.13 / $3,548.13	Professional		$2,570.40	$3,548.13	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,570.40 / $3,311.31	Professional		$6.03	$2,570.40	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $11,481.54 / $19,498.45	Facility		$7,413.10	$11,481.54	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $3,981.07	Professional		$1,380.38	$2,137.96	$3,981.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,884.03	Professional		$2,454.71	$2,454.71	$2,884.03