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 / $5,128.61	Facility		$1,348.96	$3,311.31	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,698.24	Professional		$1,230.27	$1,445.44	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,677.35	Professional		$3,715.35	$3,715.35	$4,677.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $2,511.89 / $3,548.13	Professional		$151.36	$2,511.89	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $4,466.84	Facility		$1,949.84	$2,290.87	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $7,079.46	Professional		$1,047.13	$1,737.80	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,344.23 / $2,344.23	Professional		$2,089.30	$2,344.23	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,089.30 / $4,168.69	Professional		$1,949.84	$2,089.30	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $4,466.84	Facility		$1,949.84	$1,949.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $4,466.84	Professional		$1,047.13	$1,047.13	$4,466.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84