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 $3,388.44 / $4,073.80 / $10,964.78	Professional		$3,388.44	$4,073.80	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,912.51 / $10,471.29	Professional		$8,511.38	$8,912.51	$10,471.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $6,606.93 / $12,022.64	Professional		$3,715.35	$6,606.93	$12,022.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,244.36 / $10,964.78	Facility		$3,388.44	$7,244.36	$10,964.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $7,585.78 / $28,183.83	Professional		$4,168.69	$7,585.78	$28,183.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,912.51 / $11,220.18	Professional		$8,511.38	$8,912.51	$11,220.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $10,715.19 / $10,964.78	Professional		$7,762.47	$10,715.19	$10,964.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $7,762.47 / $10,000.00	Professional		$15.14	$7,762.47	$10,000.00
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 $3,981.07 / $6,025.60 / $11,748.98	Professional		$3,981.07	$6,025.60	$11,748.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $9,332.54	Professional		$7,762.47	$7,762.47	$9,332.54