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 / $3,090.30 / $3,890.45	Professional		$2,691.53	$3,090.30	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $9,332.54	Professional		$7,413.10	$7,413.10	$9,332.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $5,011.87 / $7,079.46	Professional		$151.36	$5,011.87	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,677.35 / $10,000.00	Facility		$3,890.45	$4,677.35	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,890.45 / $15,488.17	Professional		$2,344.23	$3,890.45	$15,488.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
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