Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $6,606.93 / $9,549.93	Facility		$2,691.53	$6,606.93	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $3,388.44	Professional		$1,778.28	$2,691.53	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,760.83 / $8,317.64	Professional		$4,466.84	$6,760.83	$8,317.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $4,570.88 / $6,309.57	Professional		$151.36	$4,570.88	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,168.69 / $8,128.31	Facility		$3,467.37	$4,168.69	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $14,125.38	Professional		$2,089.30	$3,467.37	$14,125.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $13,803.84	Professional		$4,168.69	$4,168.69	$13,803.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,801.89 / $7,413.10	Professional		$3,467.37	$3,801.89	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $8,128.31	Facility		$3,467.37	$3,467.37	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $8,912.51	Professional		$2,089.30	$2,089.30	$8,912.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37