Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $6,309.57	Facility		$5,754.40	$5,754.40	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $2,951.21	Professional		$1,995.26	$2,511.89	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,890.45 / $6,025.60	Professional		$3,467.37	$3,890.45	$6,025.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $5,370.32	Professional		$2,570.40	$4,073.80	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,890.45 / $14,454.40	Facility		$2,344.23	$3,890.45	$14,454.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $15,135.61	Professional		$1,819.70	$3,630.78	$15,135.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,311.31 / $6,456.54	Professional		$3,019.95	$3,311.31	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,862.09 / $8,912.51	Professional		$1,819.70	$1,862.09	$8,912.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95