Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,370.32 / $7,943.28	Facility		$3,548.13	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $8,709.64	Professional		$2,238.72	$2,754.23	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,888.44 / $7,079.46	Professional		$5,623.41	$5,888.44	$7,079.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,365.16 / $10,232.93	Professional		$2,511.89	$4,365.16	$10,232.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,495.41 / $7,244.36	Facility		$2,630.27	$5,495.41	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $5,128.61 / $18,620.87	Professional		$2,630.27	$5,128.61	$18,620.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,888.44 / $7,244.36	Professional		$4,265.80	$5,888.44	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $7,079.46 / $7,244.36	Professional		$5,128.61	$7,079.46	$7,244.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $5,128.61 / $6,606.93	Professional		$10.96	$5,128.61	$6,606.93
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 $2,570.40 / $3,981.07 / $7,762.47	Professional		$2,570.40	$3,981.07	$7,762.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $6,165.95	Professional		$5,248.07	$5,248.07	$6,165.95