Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $17,782.79 / $20,892.96	Facility		$7,585.78	$17,782.79	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,754.40 / $7,413.10	Professional		$2,691.53	$5,754.40	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $18,197.01	Professional		$14,454.40	$14,454.40	$18,197.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $9,772.37 / $13,803.84	Professional		$151.36	$9,772.37	$13,803.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $9,120.11 / $17,378.01	Facility		$7,585.78	$9,120.11	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $7,585.78 / $30,199.52	Professional		$4,570.88	$7,585.78	$30,199.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $8,128.31 / $16,218.10	Professional		$7,585.78	$8,128.31	$16,218.10
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $17,378.01	Facility		$7,585.78	$7,585.78	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $19,054.61	Professional		$4,570.88	$4,570.88	$19,054.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Professional		$7,585.78	$7,585.78	$7,585.78