Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,079.46 / $10,232.93	Facility		$2,884.03	$7,079.46	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $4,677.35	Professional		$2,454.71	$3,162.28	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $7,244.36 / $8,912.51	Professional		$4,786.30	$7,244.36	$8,912.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $6,606.93 / $7,413.10	Professional		$3,162.28	$6,606.93	$7,413.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,466.84 / $8,709.64	Facility		$3,715.35	$4,466.84	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $4,466.84 / $11,220.18	Professional		$1,737.80	$4,466.84	$11,220.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,786.30	Professional		$4,466.84	$4,466.84	$4,786.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,073.80 / $7,943.28	Professional		$3,715.35	$4,073.80	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $8,709.64	Facility		$3,715.35	$3,715.35	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $8,511.38	Professional		$1,737.80	$2,238.72	$8,511.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35