Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,120.11 / $13,182.57	Facility		$3,715.35	$9,120.11	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,801.89 / $4,786.30	Professional		$3,311.31	$3,801.89	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $11,481.54	Professional		$9,120.11	$9,120.11	$11,481.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $6,165.95 / $8,709.64	Professional		$151.36	$6,165.95	$8,709.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,754.40 / $12,302.69	Facility		$4,786.30	$5,754.40	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,786.30 / $19,054.61	Professional		$2,884.03	$4,786.30	$19,054.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,128.61 / $10,232.93	Professional		$4,677.35	$5,128.61	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $10,964.78	Facility		$4,786.30	$4,786.30	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $12,022.64	Professional		$2,884.03	$2,884.03	$12,022.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30