Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,370.32 / $7,943.28	Facility		$3,467.37	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $7,079.46	Professional		$2,187.76	$2,630.27	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,495.41 / $6,918.31	Professional		$5,248.07	$5,495.41	$6,918.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,890.45 / $7,413.10	Professional		$2,398.83	$3,890.45	$7,413.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,248.07 / $7,079.46	Facility		$2,344.23	$5,248.07	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,677.35 / $18,197.01	Professional		$2,511.89	$4,677.35	$18,197.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,495.41 / $6,918.31	Professional		$4,570.88	$5,495.41	$6,918.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,918.31 / $6,918.31	Professional		$4,677.35	$6,918.31	$6,918.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $4,897.79 / $6,606.93	Professional		$10.96	$4,897.79	$6,606.93
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 $2,398.83 / $3,630.78 / $7,244.36	Professional		$2,398.83	$3,630.78	$7,244.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,754.40	Professional		$4,897.79	$4,897.79	$5,754.40