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 / $2,454.71 / $6,025.60	Professional		$2,187.76	$2,454.71	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,623.41 / $6,918.31	Professional		$5,495.41	$5,623.41	$6,918.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,365.16 / $10,000.00	Professional		$2,398.83	$4,365.16	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,370.32 / $7,079.46	Facility		$2,344.23	$5,370.32	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $18,197.01	Professional		$2,818.38	$5,011.87	$18,197.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,623.41 / $8,317.64	Professional		$5,370.32	$5,623.41	$8,317.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,456.54 / $6,606.93	Professional		$4,786.30	$6,456.54	$6,606.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $4,786.30 / $6,165.95	Professional		$10.96	$4,786.30	$6,165.95
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 $2,570.40 / $3,801.89 / $7,585.78	Professional		$2,570.40	$3,801.89	$7,585.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $5,495.41	Professional		$4,677.35	$4,677.35	$5,495.41