Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,311.31 / $4,786.30	Facility		$1,348.96	$3,311.31	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $1,698.24	Professional		$1,230.27	$1,380.38	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,311.31 / $4,168.69	Professional		$2,238.72	$3,311.31	$4,168.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $2,238.72 / $3,162.28	Professional		$151.36	$2,238.72	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $3,981.07	Facility		$1,737.80	$2,089.30	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $6,918.31	Professional		$1,047.13	$1,737.80	$6,918.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,238.72	Professional		$2,089.30	$2,089.30	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,862.09 / $3,715.35	Professional		$1,737.80	$1,862.09	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,981.07	Facility		$1,737.80	$1,737.80	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $4,365.16	Professional		$1,047.13	$1,047.13	$4,365.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80