Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $7,943.28	Facility		$2,137.96	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $4,365.16	Professional		$1,380.38	$1,659.59	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,548.13 / $4,265.80	Professional		$3,388.44	$3,548.13	$4,265.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,691.53 / $6,606.93	Professional		$1,513.56	$2,691.53	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,548.13 / $7,079.46	Facility		$2,137.96	$3,548.13	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,019.95 / $12,589.25	Professional		$1,621.81	$3,019.95	$12,589.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,548.13 / $4,677.35	Professional		$3,090.30	$3,548.13	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,265.80 / $4,365.16	Professional		$3,019.95	$4,265.80	$4,365.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $3,090.30 / $3,981.07	Professional		$10.96	$3,090.30	$3,981.07
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 $1,584.89 / $2,344.23 / $4,677.35	Professional		$1,584.89	$2,344.23	$4,677.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,715.35	Professional		$3,162.28	$3,162.28	$3,715.35