Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,311.31 / $5,128.61	Facility		$1,348.96	$3,311.31	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,659.59	Professional		$1,148.15	$1,513.56	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,677.35	Professional		$3,715.35	$3,715.35	$4,677.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $2,511.89 / $3,548.13	Professional		$151.36	$2,511.89	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $5,011.87	Facility		$1,949.84	$2,344.23	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,949.84 / $7,762.47	Professional		$1,047.13	$1,949.84	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,344.23	Professional		$2,089.30	$2,089.30	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,089.30 / $4,168.69	Professional		$1,949.84	$2,089.30	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $4,466.84	Facility		$1,949.84	$1,949.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $4,466.84	Professional		$1,047.13	$1,096.48	$4,466.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84