Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,168.69 / $6,025.60	Facility		$1,698.24	$4,168.69	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $2,187.76	Professional		$1,548.82	$1,698.24	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,168.69 / $5,248.07	Professional		$2,818.38	$4,168.69	$5,248.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $2,884.03 / $3,981.07	Professional		$151.36	$2,884.03	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $5,011.87	Facility		$2,187.76	$2,630.27	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $8,912.51	Professional		$1,318.26	$2,187.76	$8,912.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,818.38	Professional		$2,630.27	$2,630.27	$2,818.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,398.83 / $4,677.35	Professional		$2,187.76	$2,398.83	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $5,011.87	Facility		$2,187.76	$2,187.76	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $5,623.41	Professional		$1,318.26	$1,318.26	$5,623.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76