Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $6,918.31 / $10,000.00	Facility		$2,754.23	$6,918.31	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,884.03 / $3,630.78	Professional		$2,511.89	$2,884.03	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $8,709.64	Professional		$6,918.31	$6,918.31	$8,709.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $4,677.35 / $6,456.54	Professional		$151.36	$4,677.35	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,365.16 / $9,120.11	Facility		$3,630.78	$4,365.16	$9,120.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,630.78 / $14,454.40	Professional		$2,137.96	$3,630.78	$14,454.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,890.45 / $7,585.78	Professional		$3,467.37	$3,890.45	$7,585.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $8,317.64	Facility		$3,630.78	$3,630.78	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $9,120.11	Professional		$2,137.96	$2,137.96	$9,120.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78