Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,863.22 / $3,624.72 / $5,070.16	Facility		$1,863.22	$3,624.72	$5,070.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,229.73 / $1,434.68 / $1,807.33	Professional		$1,229.73	$1,434.68	$1,807.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,235.86 / $2,235.86 / $2,235.86	Facility		$2,235.86	$2,235.86	$2,235.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,422.19 / $3,384.12 / $4,230.14	Professional		$2,422.19	$3,384.12	$4,230.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $2,049.54 / $3,372.43	Professional		$150.00	$2,049.54	$3,372.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,863.22 / $2,235.86 / $5,124.68	Facility		$1,863.22	$2,235.86	$5,124.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,117.93 / $1,117.93 / $7,479.34	Professional		$1,117.93	$1,117.93	$7,479.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,235.86 / $2,422.19 / $5,124.68	Facility		$2,235.86	$2,422.19	$5,124.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,235.86 / $2,422.19 / $5,124.68	Professional		$2,235.86	$2,422.19	$5,124.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,863.22 / $1,863.22 / $3,325.85	Professional		$1,863.22	$1,863.22	$3,325.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,117.93 / $1,117.93 / $6,012.80	Professional		$1,117.93	$1,117.93	$6,012.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,863.22 / $1,863.22 / $1,863.22	Professional		$1,863.22	$1,863.22	$1,863.22