Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,743.95 / $3,392.69 / $4,745.60	Facility		$1,743.95	$3,392.69	$4,745.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,713.37 / $4,713.37 / $4,713.37	Professional		$4,713.37	$4,713.37	$4,713.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,158.46 / $3,253.21 / $3,347.97	Facility		$3,158.46	$3,253.21	$3,347.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,094.46 / $3,167.39 / $3,959.23	Professional		$2,094.46	$3,167.39	$3,959.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,482.36 / $2,354.33 / $8,913.52	Professional		$1,482.36	$2,354.33	$8,913.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,743.95 / $2,094.46 / $4,011.09	Facility		$1,743.95	$2,094.46	$4,011.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $701.88 / $784.94 / $4,695.81	Professional		$701.88	$784.94	$4,695.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,940.60 / $2,301.82 / $3,592.54	Facility		$1,940.60	$2,301.82	$3,592.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,666.60 / $2,267.14 / $3,822.01	Professional		$1,666.60	$2,267.14	$3,822.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,743.95 / $1,743.95 / $3,112.95	Professional		$1,743.95	$1,743.95	$3,112.95
United Facility/Professional Professional Modifier Low / Median / High Price $701.88 / $701.88 / $2,395.17	Professional		$701.88	$701.88	$2,395.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,743.95 / $1,743.95 / $1,743.95	Professional		$1,743.95	$1,743.95	$1,743.95