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 $1,348.96 / $1,621.81 / $4,265.80	Professional		$1,348.96	$1,621.81	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,467.37 / $4,168.69	Professional		$3,311.31	$3,467.37	$4,168.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,630.27 / $4,786.30	Professional		$1,479.11	$2,630.27	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,467.37 / $7,079.46	Facility		$1,949.84	$3,467.37	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,951.21 / $10,964.78	Professional		$1,698.24	$2,951.21	$10,964.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,467.37 / $5,011.87	Professional		$3,311.31	$3,467.37	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,168.69 / $4,265.80	Professional		$3,019.95	$4,168.69	$4,265.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $3,019.95 / $3,890.45	Professional		$10.96	$3,019.95	$3,890.45
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 $1,548.82 / $2,344.23 / $4,570.88	Professional		$1,548.82	$2,344.23	$4,570.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,630.78	Professional		$3,090.30	$3,090.30	$3,630.78