Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,897.79 / $7,079.46	Facility		$1,995.26	$4,897.79	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,995.26 / $2,511.89	Professional		$1,819.70	$1,995.26	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $6,165.95	Professional		$3,311.31	$4,897.79	$6,165.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $3,311.31 / $4,677.35	Professional		$151.36	$3,311.31	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,090.30 / $5,888.44	Facility		$2,570.40	$3,090.30	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $10,232.93	Professional		$1,548.82	$2,570.40	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,311.31	Professional		$3,090.30	$3,090.30	$3,311.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,754.23 / $5,495.41	Professional		$2,570.40	$2,754.23	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $5,888.44	Facility		$2,570.40	$2,570.40	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $6,456.54	Professional		$1,548.82	$1,548.82	$6,456.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40