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 / $4,786.30	Facility		$1,348.96	$3,311.31	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,318.26 / $1,479.11	Professional		$776.25	$1,318.26	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,090.30 / $3,235.94	Facility		$3,019.95	$3,090.30	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,311.31 / $4,168.69	Professional		$2,238.72	$3,311.31	$4,168.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $2,290.87 / $3,162.28	Professional		$151.36	$2,290.87	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $3,981.07	Facility		$1,737.80	$2,089.30	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $4,786.30	Professional		$676.08	$1,148.15	$4,786.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $4,466.84	Professional		$2,089.30	$2,089.30	$4,466.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,905.46 / $3,715.35	Professional		$1,737.80	$1,905.46	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,737.80 / $3,981.07	Facility		$1,659.59	$1,737.80	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $2,818.38	Professional		$676.08	$676.08	$2,818.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80