Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,370.32 / $7,943.28	Facility		$3,090.30	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $6,309.57	Professional		$1,949.84	$2,344.23	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,128.61 / $6,165.95	Professional		$4,897.79	$5,128.61	$6,165.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,801.89 / $8,912.51	Professional		$2,187.76	$3,801.89	$8,912.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,897.79 / $7,079.46	Facility		$2,344.23	$4,897.79	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $16,218.10	Professional		$2,511.89	$4,466.84	$16,218.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,128.61 / $7,413.10	Professional		$4,897.79	$5,128.61	$7,413.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,165.95 / $6,309.57	Professional		$4,466.84	$6,165.95	$6,309.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $4,466.84 / $5,754.40	Professional		$10.96	$4,466.84	$5,754.40
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 $2,290.87 / $3,467.37 / $6,760.83	Professional		$2,290.87	$3,467.37	$6,760.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $5,370.32	Professional		$4,570.88	$4,570.88	$5,370.32