Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,413.10 / $10,715.19	Facility		$2,951.21	$7,413.10	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,235.94 / $4,897.79	Professional		$2,691.53	$3,235.94	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $7,413.10 / $9,332.54	Professional		$5,011.87	$7,413.10	$9,332.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,365.16 / $6,760.83	Professional		$3,019.95	$4,365.16	$6,760.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,677.35 / $8,912.51	Facility		$3,890.45	$4,677.35	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,677.35 / $15,135.61	Professional		$2,344.23	$4,677.35	$15,135.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $5,011.87	Professional		$4,677.35	$4,677.35	$5,011.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,168.69 / $8,317.64	Professional		$3,890.45	$4,168.69	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $8,912.51	Facility		$3,890.45	$3,890.45	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $9,772.37	Professional		$2,344.23	$2,344.23	$9,772.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45