Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,370.32 / $7,943.28	Facility		$2,290.87	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $4,677.35	Professional		$1,479.11	$1,778.28	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,801.89 / $4,570.88	Professional		$3,630.78	$3,801.89	$4,570.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $5,128.61	Professional		$1,621.81	$2,630.27	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,630.78 / $7,079.46	Facility		$2,137.96	$3,630.78	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,235.94 / $14,454.40	Professional		$1,819.70	$3,235.94	$14,454.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,801.89 / $5,011.87	Professional		$3,311.31	$3,801.89	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,570.88 / $4,677.35	Professional		$3,311.31	$4,570.88	$4,677.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $3,311.31 / $4,265.80	Professional		$10.96	$3,311.31	$4,265.80
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 $1,698.24 / $2,511.89 / $5,011.87	Professional		$1,698.24	$2,511.89	$5,011.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,981.07	Professional		$3,388.44	$3,388.44	$3,981.07