Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,303.95 / $2,536.71 / $3,548.28	Facility		$1,303.95	$2,536.71	$3,548.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $860.61 / $1,004.04 / $1,264.83	Professional		$860.61	$1,004.04	$1,264.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,018.54 / $3,109.10 / $3,199.65	Facility		$3,018.54	$3,109.10	$3,199.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,566.03 / $2,368.36 / $2,960.45	Professional		$1,566.03	$2,368.36	$2,960.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,108.35 / $1,760.33 / $6,664.64	Professional		$1,108.35	$1,760.33	$6,664.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,303.95 / $1,682.66 / $3,109.10	Facility		$1,303.95	$1,682.66	$3,109.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $670.79 / $750.16 / $4,396.13	Professional		$670.79	$750.16	$4,396.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,564.74 / $1,854.35 / $3,109.10	Facility		$1,564.74	$1,854.35	$3,109.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,564.74 / $1,854.35 / $2,917.93	Professional		$1,564.74	$1,854.35	$2,917.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,303.95 / $2,327.55	Professional		$1,303.95	$1,303.95	$2,327.55
United Facility/Professional Professional Modifier Low / Median / High Price $670.79 / $670.79 / $2,289.06	Professional		$670.79	$670.79	$2,289.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,303.95 / $1,303.95	Professional		$1,303.95	$1,303.95	$1,303.95