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 $2,292.62 / $3,384.12 / $4,230.14	Professional		$2,292.62	$3,384.12	$4,230.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,583.74 / $2,515.35 / $3,372.43	Professional		$1,583.74	$2,515.35	$3,372.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,434.68 / $2,292.62 / $4,769.84	Facility		$1,434.68	$2,292.62	$4,769.84
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 / $4,359.93	Facility		$2,235.86	$2,422.19	$4,359.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,235.86 / $2,422.19 / $4,359.93	Professional		$2,235.86	$2,422.19	$4,359.93
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 / $3,814.94	Professional		$1,117.93	$1,117.93	$3,814.94
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