Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,585.78	Facility		$2,137.96	$5,248.07	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $2,137.96 / $2,691.53	Professional		$457.09	$2,137.96	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $6,606.93	Professional		$5,248.07	$5,248.07	$6,606.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $3,548.13 / $5,011.87	Professional		$151.36	$3,548.13	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,311.31 / $6,309.57	Facility		$2,754.23	$3,311.31	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $10,964.78	Professional		$1,659.59	$2,754.23	$10,964.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,951.21 / $5,888.44	Professional		$2,754.23	$2,951.21	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $6,309.57	Facility		$2,754.23	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $6,918.31	Professional		$1,659.59	$1,659.59	$6,918.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23