Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $6,918.31 / $10,232.93	Facility		$2,818.38	$6,918.31	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,818.38 / $3,715.35	Professional		$2,570.40	$2,818.38	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $7,079.46 / $8,709.64	Professional		$4,786.30	$7,079.46	$8,709.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $4,786.30 / $6,606.93	Professional		$151.36	$4,786.30	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $8,511.38	Facility		$3,715.35	$4,365.16	$8,511.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,715.35 / $14,791.08	Professional		$2,187.76	$3,715.35	$14,791.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $14,454.40	Professional		$4,365.16	$4,365.16	$14,454.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,981.07 / $7,762.47	Professional		$3,715.35	$3,981.07	$7,762.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $8,511.38	Facility		$3,715.35	$3,715.35	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $9,332.54	Professional		$2,187.76	$2,187.76	$9,332.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35