Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,623.41 / $7,943.28	Facility		$4,265.80	$5,623.41	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $11,748.98	Professional		$3,548.13	$4,265.80	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,912.51 / $11,220.18	Professional		$8,128.31	$8,912.51	$11,220.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $6,456.54 / $12,589.25	Professional		$3,981.07	$6,456.54	$12,589.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $7,244.36 / $9,772.37	Facility		$3,019.95	$7,244.36	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $7,413.10 / $29,512.09	Professional		$4,265.80	$7,413.10	$29,512.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,912.51 / $12,302.69	Professional		$8,128.31	$8,912.51	$12,302.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $11,220.18 / $11,220.18	Professional		$6,606.93	$11,220.18	$11,220.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $6,760.83 / $10,471.29	Professional		$10.96	$6,760.83	$10,471.29
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 $4,168.69 / $6,165.95 / $12,302.69	Professional		$4,168.69	$6,165.95	$12,302.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $9,549.93	Professional		$8,128.31	$8,128.31	$9,549.93