Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $10,232.93	Facility		$9,332.54	$9,332.54	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $3,235.94	Professional		$1,778.28	$2,137.96	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,235.94 / $10,000.00	Professional		$2,884.03	$3,235.94	$10,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,388.44 / $4,365.16	Professional		$2,137.96	$3,388.44	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $12,022.64	Facility		$3,235.94	$3,801.89	$12,022.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,235.94 / $13,489.63	Professional		$1,513.56	$3,235.94	$13,489.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,235.94 / $10,000.00	Professional		$3,019.95	$3,235.94	$10,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,691.53 / $5,370.32	Professional		$2,511.89	$2,691.53	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,548.82 / $7,413.10	Professional		$1,513.56	$1,548.82	$7,413.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89