Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,370.32 / $7,943.28	Facility		$2,511.89	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $5,128.61	Professional		$1,584.89	$1,905.46	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,168.69 / $5,011.87	Professional		$3,981.07	$4,168.69	$5,011.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,090.30 / $5,623.41	Professional		$1,778.28	$3,090.30	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,168.69 / $7,079.46	Facility		$2,344.23	$4,168.69	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,548.13 / $15,848.93	Professional		$2,041.74	$3,548.13	$15,848.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,168.69 / $5,888.44	Professional		$3,801.89	$4,168.69	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,011.87 / $5,128.61	Professional		$3,630.78	$5,011.87	$5,128.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $3,630.78 / $4,677.35	Professional		$10.96	$3,630.78	$4,677.35
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 $1,862.09 / $2,818.38 / $5,495.41	Professional		$1,862.09	$2,818.38	$5,495.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,365.16	Professional		$3,715.35	$3,715.35	$4,365.16