Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,951.21 / $4,265.80	Facility		$1,174.90	$2,951.21	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $1,479.11	Professional		$1,023.29	$1,174.90	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,951.21 / $3,715.35	Professional		$1,995.26	$2,951.21	$3,715.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,995.26 / $2,754.23	Professional		$151.36	$1,995.26	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $3,548.13	Facility		$1,548.82	$1,862.09	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,548.82 / $6,165.95	Professional		$912.01	$1,548.82	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,995.26	Professional		$1,862.09	$1,862.09	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,659.59 / $3,311.31	Professional		$1,548.82	$1,659.59	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $3,548.13	Facility		$1,548.82	$1,548.82	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $3,890.45	Professional		$912.01	$912.01	$3,890.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82