Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,365.16 / $6,309.57	Facility		$1,737.80	$4,365.16	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $2,187.76	Professional		$1,584.89	$1,737.80	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $5,495.41	Professional		$4,365.16	$4,365.16	$5,495.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $2,951.21 / $4,168.69	Professional		$151.36	$2,951.21	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,754.23 / $5,248.07	Facility		$2,290.87	$2,754.23	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $9,120.11	Professional		$1,380.38	$2,290.87	$9,120.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,454.71 / $4,897.79	Professional		$2,290.87	$2,454.71	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $5,248.07	Facility		$2,290.87	$2,290.87	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $5,754.40	Professional		$1,380.38	$1,380.38	$5,754.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87