Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,630.78 / $5,248.07	Facility		$1,445.44	$3,630.78	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $1,778.28	Professional		$1,318.26	$1,479.11	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,570.88	Professional		$3,630.78	$3,630.78	$4,570.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $2,454.71 / $3,467.37	Professional		$151.36	$2,454.71	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $4,365.16	Facility		$1,905.46	$2,290.87	$4,365.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $7,585.78	Professional		$1,148.15	$1,905.46	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,041.74 / $4,073.80	Professional		$1,905.46	$2,041.74	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $4,365.16	Facility		$1,905.46	$1,905.46	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $4,786.30	Professional		$1,148.15	$1,148.15	$4,786.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46