Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $9,549.93 / $13,803.84	Facility		$3,890.45	$9,549.93	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,981.07 / $5,011.87	Professional		$3,467.37	$3,981.07	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $12,022.64	Professional		$9,549.93	$9,549.93	$12,022.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $6,456.54 / $9,120.11	Professional		$151.36	$6,456.54	$9,120.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,025.60 / $11,481.54	Facility		$5,011.87	$6,025.60	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $5,011.87 / $19,952.62	Professional		$3,019.95	$5,011.87	$19,952.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,370.32 / $10,715.19	Professional		$5,011.87	$5,370.32	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $11,481.54	Facility		$5,011.87	$5,011.87	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $12,589.25	Professional		$3,019.95	$3,019.95	$12,589.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87