Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,471.29 / $15,135.61	Facility		$4,168.69	$10,471.29	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,168.69 / $5,495.41	Professional		$3,801.89	$4,168.69	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $10,471.29 / $13,182.57	Professional		$7,079.46	$10,471.29	$13,182.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $7,079.46 / $10,000.00	Professional		$151.36	$7,079.46	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $6,606.93 / $12,589.25	Facility		$5,495.41	$6,606.93	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $5,495.41 / $21,877.62	Professional		$3,311.31	$5,495.41	$21,877.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $7,079.46	Professional		$6,606.93	$6,606.93	$7,079.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,888.44 / $11,748.98	Professional		$5,495.41	$5,888.44	$11,748.98
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $12,589.25	Facility		$5,495.41	$5,495.41	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $13,803.84	Professional		$3,311.31	$3,311.31	$13,803.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41