Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,786.30 / $6,918.31	Facility		$1,949.84	$4,786.30	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $3,019.95	Professional		$1,737.80	$2,187.76	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,786.30 / $6,025.60	Professional		$3,235.94	$4,786.30	$6,025.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,265.80 / $4,570.88	Professional		$2,137.96	$4,265.80	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $6,456.54	Facility		$2,511.89	$3,019.95	$6,456.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,019.95 / $12,302.69	Professional		$1,513.56	$3,019.95	$12,302.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,235.94 / $12,589.25	Professional		$3,019.95	$3,235.94	$12,589.25
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 Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $5,754.40	Facility		$2,511.89	$2,511.89	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,548.82 / $6,309.57	Professional		$1,513.56	$1,548.82	$6,309.57
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