Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,370.32 / $7,943.28	Facility		$2,089.30	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $4,265.80	Professional		$1,318.26	$1,584.89	$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 $1,445.44 / $2,570.40 / $6,309.57	Professional		$1,445.44	$2,570.40	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $7,079.46	Facility		$2,089.30	$3,467.37	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $11,748.98	Professional		$1,659.59	$2,951.21	$11,748.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,467.37 / $4,786.30	Professional		$3,162.28	$3,467.37	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,168.69 / $4,168.69	Professional		$2,951.21	$4,168.69	$4,168.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $2,951.21 / $3,890.45	Professional		$10.96	$2,951.21	$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 $1,513.56 / $2,290.87 / $4,466.84	Professional		$1,513.56	$2,290.87	$4,466.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,548.13	Professional		$3,019.95	$3,019.95	$3,548.13