Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,495.41 / $8,128.31	Facility		$2,238.72	$5,495.41	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,344.23 / $2,951.21	Professional		$2,041.74	$2,344.23	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,623.41 / $6,918.31	Professional		$3,801.89	$5,623.41	$6,918.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $3,801.89 / $5,248.07	Professional		$151.36	$3,801.89	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $6,760.83	Facility		$2,951.21	$3,467.37	$6,760.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,951.21 / $11,748.98	Professional		$1,737.80	$2,951.21	$11,748.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $11,481.54	Professional		$3,467.37	$3,467.37	$11,481.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,162.28 / $6,165.95	Professional		$2,951.21	$3,162.28	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $6,760.83	Facility		$2,951.21	$2,951.21	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $7,413.10	Professional		$1,737.80	$1,737.80	$7,413.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21