Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,548.13 / $5,128.61	Facility		$1,445.44	$3,548.13	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $1,862.09	Professional		$1,318.26	$1,479.11	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $4,466.84	Professional		$3,548.13	$3,548.13	$4,466.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $2,398.83 / $3,388.44	Professional		$151.36	$2,398.83	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $8,912.51	Facility		$1,445.44	$2,290.87	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,148.15 / $9,332.54	Professional		$1,122.02	$1,148.15	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,290.87 / $2,398.83	Professional		$2,238.72	$2,290.87	$2,398.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $3,981.07	Professional		$1,862.09	$1,995.26	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,818.38	Facility		$1,862.09	$1,862.09	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $4,677.35	Professional		$1,122.02	$1,122.02	$4,677.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09