Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,142.06 / $2,221.78 / $3,107.76	Facility		$1,142.06	$2,221.78	$3,107.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.76 / $879.39 / $1,107.80	Professional		$753.76	$879.39	$1,107.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,370.47 / $1,370.47 / $1,370.47	Facility		$1,370.47	$1,370.47	$1,370.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,484.68 / $2,074.60 / $2,593.25	Professional		$1,484.68	$2,074.60	$2,593.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $970.75 / $1,541.78 / $2,067.13	Professional		$970.75	$1,541.78	$2,067.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $879.39 / $1,484.68 / $2,923.67	Facility		$879.39	$1,484.68	$2,923.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $685.24 / $685.24 / $4,584.46	Professional		$685.24	$685.24	$4,584.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,370.47 / $1,484.68 / $2,672.42	Facility		$1,370.47	$1,484.68	$2,672.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,370.47 / $1,484.68 / $2,672.42	Professional		$1,370.47	$1,484.68	$2,672.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,142.06 / $1,142.06 / $2,038.58	Professional		$1,142.06	$1,142.06	$2,038.58
United Facility/Professional Professional Modifier Low / Median / High Price $685.24 / $685.24 / $2,338.37	Professional		$685.24	$685.24	$2,338.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,142.06 / $1,142.06 / $1,142.06	Professional		$1,142.06	$1,142.06	$1,142.06