Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,370.32 / $7,943.28	Facility		$2,630.27	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $5,370.32	Professional		$1,659.59	$2,041.74	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,265.80 / $5,248.07	Professional		$4,073.80	$4,265.80	$5,248.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $7,585.78	Professional		$1,862.09	$3,090.30	$7,585.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,073.80 / $7,079.46	Facility		$2,137.96	$4,073.80	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,630.78 / $13,803.84	Professional		$2,089.30	$3,630.78	$13,803.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,265.80 / $6,165.95	Professional		$3,801.89	$4,265.80	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $5,248.07 / $5,370.32	Professional		$3,019.95	$5,248.07	$5,370.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $3,090.30 / $4,897.79	Professional		$10.96	$3,090.30	$4,897.79
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 $1,949.84 / $2,818.38 / $5,754.40	Professional		$1,949.84	$2,818.38	$5,754.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $4,570.88	Professional		$3,890.45	$3,890.45	$4,570.88