Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $7,413.10 / $8,709.64	Facility		$3,162.28	$7,413.10	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,344.23 / $2,951.21	Professional		$478.63	$2,344.23	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $7,585.78	Professional		$6,025.60	$6,025.60	$7,585.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $4,073.80 / $5,754.40	Professional		$151.36	$4,073.80	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $7,244.36	Facility		$3,162.28	$3,801.89	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,162.28 / $12,589.25	Professional		$1,905.46	$3,162.28	$12,589.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,388.44 / $6,760.83	Professional		$3,162.28	$3,388.44	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $7,244.36	Facility		$3,162.28	$3,162.28	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $7,943.28	Professional		$1,905.46	$1,905.46	$7,943.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28