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 $1,445.44 / $1,737.80 / $4,073.80	Professional		$1,445.44	$1,737.80	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,801.89 / $4,677.35	Professional		$3,715.35	$3,801.89	$4,677.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,818.38 / $6,165.95	Professional		$1,621.81	$2,818.38	$6,165.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,715.35 / $7,079.46	Facility		$2,041.74	$3,715.35	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,311.31 / $12,022.64	Professional		$1,862.09	$3,311.31	$12,022.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,801.89 / $5,623.41	Professional		$3,548.13	$3,801.89	$5,623.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,365.16 / $4,365.16	Professional		$3,311.31	$4,365.16	$4,365.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $3,311.31 / $4,168.69	Professional		$6.03	$3,311.31	$4,168.69
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 $1,698.24 / $2,570.40 / $4,897.79	Professional		$1,698.24	$2,570.40	$4,897.79
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