Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,388.44 / $4,897.79	Facility		$1,348.96	$3,388.44	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,778.28	Professional		$1,230.27	$1,445.44	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $4,265.80	Professional		$3,388.44	$3,388.44	$4,265.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $2,290.87 / $3,235.94	Professional		$151.36	$2,290.87	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $4,897.79	Facility		$1,778.28	$2,137.96	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,096.48 / $8,912.51	Professional		$1,071.52	$1,096.48	$8,912.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $4,897.79	Professional		$2,137.96	$2,290.87	$4,897.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,905.46 / $3,801.89	Professional		$1,778.28	$1,905.46	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $4,073.80	Facility		$1,778.28	$1,778.28	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $4,466.84	Professional		$1,071.52	$1,071.52	$4,466.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28