Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,770.48 / $3,444.30 / $4,817.80	Facility		$1,770.48	$3,444.30	$4,817.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,168.52 / $1,363.27 / $1,717.37	Professional		$1,168.52	$1,363.27	$1,717.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,124.58 / $2,124.58 / $2,124.58	Facility		$2,124.58	$2,124.58	$2,124.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,301.62 / $3,215.69 / $4,019.62	Professional		$2,301.62	$3,215.69	$4,019.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,504.91 / $2,390.15 / $3,204.57	Professional		$1,504.91	$2,390.15	$3,204.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,770.48 / $2,124.58 / $4,869.60	Facility		$1,770.48	$2,124.58	$4,869.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,062.29 / $1,062.29 / $7,107.06	Professional		$1,062.29	$1,062.29	$7,107.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,124.58 / $2,301.62 / $4,869.60	Facility		$2,124.58	$2,301.62	$4,869.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,124.58 / $2,301.62 / $4,869.60	Professional		$2,124.58	$2,301.62	$4,869.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,770.48 / $1,770.48 / $3,160.31	Professional		$1,770.48	$1,770.48	$3,160.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,655.72 / $2,655.72 / $2,655.72	Facility		$2,655.72	$2,655.72	$2,655.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,062.29 / $1,062.29 / $3,859.65	Professional		$1,062.29	$1,062.29	$3,859.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,770.48 / $1,770.48 / $1,770.48	Professional		$1,770.48	$1,770.48	$1,770.48