Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $5,679.80 / $7,944.75	Facility		$2,919.60	$5,679.80	$7,944.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,926.94 / $2,248.09 / $2,832.01	Professional		$1,926.94	$2,248.09	$2,832.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,503.52 / $3,503.52 / $3,503.52	Facility		$3,503.52	$3,503.52	$3,503.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,773.58 / $5,302.69 / $6,628.37	Professional		$3,773.58	$5,302.69	$6,628.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $3,211.56 / $5,284.48	Professional		$150.00	$3,211.56	$5,284.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $3,503.52 / $7,474.18	Facility		$2,919.60	$3,503.52	$7,474.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,751.76 / $1,751.76 / $11,719.86	Professional		$1,751.76	$1,751.76	$11,719.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,503.52 / $3,795.48 / $6,831.86	Facility		$3,503.52	$3,795.48	$6,831.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,503.52 / $3,795.48 / $6,831.86	Professional		$3,503.52	$3,795.48	$6,831.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $5,211.49	Professional		$2,919.60	$2,919.60	$5,211.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,751.76 / $1,751.76 / $5,977.88	Professional		$1,751.76	$1,751.76	$5,977.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $2,919.60	Professional		$2,919.60	$2,919.60	$2,919.60