Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,370.32 / $7,943.28	Facility		$2,818.38	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $5,888.44	Professional		$1,819.70	$2,137.96	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,570.88 / $5,623.41	Professional		$4,073.80	$4,570.88	$5,623.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,090.30 / $6,606.93	Professional		$1,949.84	$3,090.30	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,073.80 / $7,079.46	Facility		$2,290.87	$4,073.80	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,630.78 / $14,791.08	Professional		$2,089.30	$3,630.78	$14,791.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,570.88 / $5,888.44	Professional		$3,890.45	$4,570.88	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $5,623.41 / $5,754.40	Professional		$3,235.94	$5,623.41	$5,754.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $3,311.31 / $5,370.32	Professional		$10.96	$3,311.31	$5,370.32
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 $2,041.74 / $3,019.95 / $6,165.95	Professional		$2,041.74	$3,019.95	$6,165.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,786.30	Professional		$4,073.80	$4,073.80	$4,786.30