Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $11,220.18	Facility		$10,232.93	$10,232.93	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,398.83	Professional		$1,318.26	$1,318.26	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $6,309.57 / $6,456.54	Professional		$2,290.87	$6,309.57	$6,456.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Professional		$9,549.93	$9,549.93	$9,549.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,079.46 / $25,703.96	Facility		$4,168.69	$7,079.46	$25,703.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $3,311.31 / $26,915.35	Professional		$1,148.15	$3,311.31	$26,915.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $6,456.54	Professional		$2,290.87	$6,456.54	$6,456.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,888.44 / $11,481.54	Professional		$5,495.41	$5,888.44	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $5,623.41	Professional		$1,148.15	$1,148.15	$5,623.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41