Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,128.61 / $7,413.10	Facility		$2,089.30	$5,128.61	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,089.30 / $2,691.53	Professional		$1,905.46	$2,089.30	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,248.07 / $6,456.54	Professional		$3,467.37	$5,248.07	$6,456.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $3,548.13 / $4,897.79	Professional		$151.36	$3,548.13	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,235.94 / $6,165.95	Facility		$2,691.53	$3,235.94	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,691.53 / $10,964.78	Professional		$1,621.81	$2,691.53	$10,964.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,467.37	Professional		$3,235.94	$3,235.94	$3,467.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,951.21 / $5,754.40	Professional		$2,691.53	$2,951.21	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $6,165.95	Facility		$2,691.53	$2,691.53	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $6,918.31	Professional		$1,621.81	$1,621.81	$6,918.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53