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 $1,445.44 / $1,737.80 / $5,495.41	Professional		$1,445.44	$1,737.80	$5,495.41
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 $1,584.89 / $2,754.23 / $5,754.40	Professional		$1,584.89	$2,754.23	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,715.35 / $7,079.46	Facility		$2,238.72	$3,715.35	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,235.94 / $14,125.38	Professional		$1,819.70	$3,235.94	$14,125.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,801.89 / $5,495.41	Professional		$3,630.78	$3,801.89	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,570.88 / $4,570.88	Professional		$3,235.94	$4,570.88	$4,570.88
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 $1,659.59 / $2,511.89 / $4,897.79	Professional		$1,659.59	$2,511.89	$4,897.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,890.45	Professional		$3,311.31	$3,311.31	$3,890.45