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 / $8,511.38	Facility		$2,238.72	$5,495.41	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $2,951.21	Professional		$2,041.74	$2,398.83	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $8,317.64	Professional		$6,760.83	$6,760.83	$8,317.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $4,570.88 / $6,309.57	Professional		$151.36	$4,570.88	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,168.69 / $6,918.31	Facility		$2,754.23	$4,168.69	$6,918.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,951.21 / $11,481.54	Professional		$1,737.80	$2,951.21	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,168.69 / $4,168.69	Professional		$3,467.37	$4,168.69	$4,168.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,801.89 / $7,413.10	Professional		$3,467.37	$3,801.89	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $4,365.16	Facility		$2,951.21	$2,951.21	$4,365.16
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 $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37