Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,370.32 / $7,943.28	Facility		$3,801.89	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,951.21 / $7,762.47	Professional		$2,398.83	$2,951.21	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,025.60 / $7,585.78	Professional		$5,495.41	$6,025.60	$7,585.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,265.80 / $6,918.31	Professional		$2,630.27	$4,265.80	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,495.41 / $7,585.78	Facility		$2,570.40	$5,495.41	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,897.79 / $19,952.62	Professional		$2,818.38	$4,897.79	$19,952.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $7,762.47	Professional		$5,128.61	$6,025.60	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $7,585.78 / $7,585.78	Professional		$4,365.16	$7,585.78	$7,585.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $4,466.84 / $7,244.36	Professional		$10.96	$4,466.84	$7,244.36
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 $2,818.38 / $4,073.80 / $8,317.64	Professional		$2,818.38	$4,073.80	$8,317.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $6,456.54	Professional		$5,495.41	$5,495.41	$6,456.54