Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $12,302.69 / $14,454.40	Facility		$5,248.07	$12,302.69	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,168.69 / $5,248.07	Professional		$3,630.78	$4,168.69	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $10,000.00 / $12,589.25	Professional		$6,760.83	$10,000.00	$12,589.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $6,760.83 / $9,549.93	Professional		$151.36	$6,760.83	$9,549.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $6,309.57 / $12,022.64	Facility		$5,248.07	$6,309.57	$12,022.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,248.07 / $20,892.96	Professional		$3,162.28	$5,248.07	$20,892.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,760.83	Professional		$6,309.57	$6,309.57	$6,760.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,623.41 / $11,220.18	Professional		$5,248.07	$5,623.41	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $12,022.64	Facility		$5,248.07	$5,248.07	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $13,182.57	Professional		$3,162.28	$3,162.28	$13,182.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07