Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,165.95 / $7,943.28	Facility		$4,265.80	$6,165.95	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,786.30 / $12,589.25	Professional		$3,890.45	$4,786.30	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $10,232.93 / $12,022.64	Professional		$9,772.37	$10,232.93	$12,022.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $7,943.28 / $14,791.08	Professional		$4,265.80	$7,943.28	$14,791.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,762.47 / $12,589.25	Facility		$3,388.44	$7,762.47	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $8,912.51 / $32,359.37	Professional		$4,677.35	$8,912.51	$32,359.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,232.93 / $12,589.25	Professional		$8,912.51	$10,232.93	$12,589.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $12,302.69 / $12,589.25	Professional		$8,912.51	$12,302.69	$12,589.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $9,772.37 / $11,481.54	Professional		$15.14	$9,772.37	$11,481.54
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 $4,570.88 / $6,918.31 / $13,803.84	Professional		$4,570.88	$6,918.31	$13,803.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $10,715.19	Professional		$8,912.51	$8,912.51	$10,715.19