Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,370.32 / $7,943.28	Facility		$4,265.80	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,715.35 / $10,000.00	Professional		$3,090.30	$3,715.35	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $8,511.38 / $9,549.93	Professional		$7,585.78	$8,511.38	$9,549.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $6,025.60 / $13,803.84	Professional		$3,388.44	$6,025.60	$13,803.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,244.36 / $9,772.37	Facility		$3,235.94	$7,244.36	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $7,244.36 / $25,703.96	Professional		$3,981.07	$7,244.36	$25,703.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $8,511.38 / $12,302.69	Professional		$7,943.28	$8,511.38	$12,302.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $9,772.37 / $9,772.37	Professional		$7,079.46	$9,772.37	$9,772.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $7,079.46 / $9,120.11	Professional		$15.14	$7,079.46	$9,120.11
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 $3,630.78 / $5,495.41 / $10,715.19	Professional		$3,630.78	$5,495.41	$10,715.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $8,317.64	Professional		$7,079.46	$7,079.46	$8,317.64