Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,754.40 / $8,317.64	Facility		$2,344.23	$5,754.40	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,398.83 / $2,818.38	Professional		$2,137.96	$2,398.83	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $7,244.36	Professional		$5,754.40	$5,754.40	$7,244.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $3,981.07 / $5,495.41	Professional		$151.36	$3,981.07	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,630.78 / $6,918.31	Facility		$3,019.95	$3,630.78	$6,918.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,019.95 / $12,302.69	Professional		$1,819.70	$3,019.95	$12,302.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,311.31 / $6,456.54	Professional		$3,019.95	$3,311.31	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $6,918.31	Facility		$3,019.95	$3,019.95	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $7,585.78	Professional		$1,819.70	$1,819.70	$7,585.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95